Carlos Del Valle Montes Domini, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

58738 Issued in AZ

Practice address

6739 W Cactus Rd
Peoria, AZ 85381-5311

Phone

(623) 562-0015

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

General Practice

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Active Vital Care LLCGroup PAC ID 3870942428, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25335/brand/1/csg/1/fhir/r4

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.

• Active Vital Care LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1326825092
  Medicare reassignment Care Compare group NPD
• Agave Adult Medical Care LLC

  • Adult Medicine Physician
  • Sedona, AZ
  • NPI 1861153579
  Medicare reassignment NPD
• Angels Valley Community Healthcare Center PLLC

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1689303117
  Medicare reassignment NPD
• All Seasons Healthcare, Inc.

  • Community Based Hospice Care Agency
  • Long Beach, CA
  • NPI 1992935563
  NPD (past)
• Ejd Medical Corporation

  • Neurology Physician
  • San Diego, CA
  • NPI 1295962082
  NPD (past)
• United Medical Care Center Inc.

  • Specialist
  • San Bernardino, CA
  • NPI 1467590323
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1528043429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 W CACTUS RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815311",
            "telephone_number": "833-242-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 W CACTUS RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815311",
            "telephone_number": "623-562-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES DOMINI",
        "first_name": "CARLOS",
        "middle_name": "DEL VALLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A50991",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "58738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlos.montes@avcmed.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6739 W Cactus Rd",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853815311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Moment of Truth Physical Therapy
• Momentum Massage, LLC
• Joshua A Mondlick, D.D.S.
• Montana Medical Supplies LLC
• Denise Monterroso
• Jennifer Mary Montgomery, LCSW
• Kizuwanda Montgomery
• Landon Montierth, OD
• Cari Michelle Montoya, FNP
• Liliana Montoya

• General Practice Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.