Individual provider Active NPI

Jorge Francisco Montoy, M.D.

  • Family Medicine Physician
  • Sanger, CA
National Provider Identifier
1508816414
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G46427 Issued in CA
Practice address
2514 Jensen Ave
#102
Sanger, CA 93657-2250
Phone
(559) 875-6970
Fax
(559) 875-1469
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G46427 CA Primary

Addresses

Primary practice location

2514 Jensen Ave
#102
Sanger, CA 93657-2250

Mailing address

2514 Jensen Ave
#102
Sanger, CA 93657-2250
Phone (559) 875-6970

Other identifiers 1

IdentifierTypeStateIssuer
00G464270MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091002000530 CA Practitioner - Family Practice 8729124839 Practice locations: Sanger, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Stanford University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2514 Jensen Ave
Suite 102
Sanger, CA 93657-2451
Phone (559) 875-6970

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46427CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1508816414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 JENSEN AVE",
            "address_2": "#102",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572250",
            "telephone_number": "559-875-6970",
            "fax_number": "559-875-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 JENSEN AVE",
            "address_2": "#102",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572250",
            "telephone_number": "559-875-6970",
            "fax_number": "559-875-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOY",
        "first_name": "JORGE",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G46427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G464270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

Verify at the official NPI Registry.