Lori Denise Montgomery

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95037450 Issued in CA

Practice address

9350 N Loop Blvd
California City, CA 93505-2269

Phone

(661) 771-8222

Fax

(760) 373-1790

NPI assigned

Dec 22, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lori Denise Bray Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health Medical Center TehachapiGroup PAC ID 1456646629, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adventist Health Medical Center Tehachapi

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1275538530
  Medicare reassignment Care Compare group NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health Medical Center Tehachapi

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1275538530
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1477418366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 N LOOP BLVD",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052269",
            "telephone_number": "661-771-8222",
            "fax_number": "760-373-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 N LOOP BLVD",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052269",
            "telephone_number": "661-771-8222",
            "fax_number": "760-373-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "LORI",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-22",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95037450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "BRAY",
            "middle_name": "DENISE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Maroni
• Crystal McClain
• Susan Margaret McIntosh
• Amber Lynn Medina, FNP-C
• Kathline Bernice Moessner
• Regino Moreno, LMT
• Bunjerd Nawadee, M.T
• Clarissa Ferricka Newport
• Jaden Binh Ong, PHARMD
• Alita Dianne Osborn

• Family Nurse Practitioner in California City, CA
• Providers in California City, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.