Individual provider Active NPI

Ace Monzon Kamantigue, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Fe Springs, CA
National Provider Identifier
1528419348
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95006726 Issued in CA
Practice address
10571 Ponderosa Cir
Santa Fe Springs, CA 90670-3866
Phone
(714) 747-1830
Fax
(562) 944-1869
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 720659 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95006726 CA Primary

Addresses

Primary practice location

10571 Ponderosa Cir
Santa Fe Springs, CA 90670-3866

Mailing address

10571 Ponderosa Cir
Santa Fe Springs, CA 90670-3866
Phone (714) 747-1830

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829002546 CA Practitioner - Nurse Practitioner 3678751229 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
720659CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Durable Medical Equipments LLC CurrentSince Jul 24, 2022 Accepting new patients
New Foundation Medical Inc. CurrentSince Aug 1, 2017 Accepting new patients
Alliance for Wellness, Inc. Psychiatric/Mental Health CurrentSince Jan 14, 2025 Accepting new patients
Tamika Henry MD Inc PastSince Jan 7, 2025 Accepting new patients

Locations

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387

6960 Magnolia Ave
Ste 203
Riverside, CA 92506
Phone (714) 352-5800

520 N Main St
Ste 220
Santa Ana, CA 92701
Phone (714) 352-5800

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528419348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10571 PONDEROSA CIR",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703866",
            "telephone_number": "714-747-1830",
            "fax_number": "562-944-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10571 PONDEROSA CIR",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703866",
            "telephone_number": "714-747-1830",
            "fax_number": "562-944-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMANTIGUE",
        "first_name": "ACE",
        "middle_name": "MONZON",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "720659",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

Verify at the official NPI Registry.