Individual provider Active NPI

Arlene Mavis Montoya, M.D.

  • Anesthesiology Physician
  • Newport Beach, CA
National Provider Identifier
1528041050
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A42060 Issued in CA
Practice address
3333 W Coast Hwy Ste 100
Newport Beach, CA 92663-4087
Phone
(949) 645-6272
Fax
(949) 999-0151
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A42060 CA Primary

Addresses

Primary practice location

3333 W Coast Hwy Ste 100
Newport Beach, CA 92663-4087

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243

Other identifiers 1

IdentifierTypeStateIssuer
00A420600MedicaidCA

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
I20040429000595 CA Practitioner - Anesthesiology 3173510484 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42060CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlene Montoya MD Professional Corporation Anesthesiology CurrentSince Jan 5, 2004 Accepting new patients
San Dieguito Anesthesiology Medical Group, Inc. Anesthesiology Past Accepting new patients

Locations

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

3333 W Coast Hwy
Ste 100
Newport Beach, CA 92663
Phone (949) 515-1040

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

14571 Magnolia St
Westminster, CA 92683
Phone (714) 842-1473

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1528041050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W COAST HWY STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634087",
            "telephone_number": "949-645-6272",
            "fax_number": "949-999-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "ARLENE",
        "middle_name": "MAVIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A42060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A420600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.