Individual provider Active NPI

Jose Manuel Montes

  • Non-emergency Medical Transport (VAN)
  • Fontana, CA
National Provider Identifier
1568220176
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
41889 Issued in CA
Practice address
9161 Sierra Ave Ste 208
Fontana, CA 92335
Phone
(951) 275-1985
NPI assigned
Mar 8, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 41889 CA Primary

Addresses

Primary practice location

9161 Sierra Ave Ste 208
Fontana, CA 92335

Mailing address

PO Box 3856 S.B.Ca. 92413
Jose Montes Blue Arrow Transport
San Bernardino, CA 92413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41889CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Arrow Non Emergency Medical Transportation Non-Emergency Medical Transport (Van) CurrentSince May 26, 2024 Accepting new patients

Locations

9161 Sierra Ave
Ste 208
Fontana, CA 92335
Phone (909) 997-0863

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.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1568220176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3856 S.B.CA. 92413",
            "address_2": "JOSE MONTES BLUE ARROW TRANSPORT",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9161 SIERRA AVE STE 208",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "951-275-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "41889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.