Individual provider Active NPI

Maris Stella Legarda, M.D

  • Epilepsy Physician
  • Monterey, CA
National Provider Identifier
1659331296
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
C52834 Issued in CA
Practice address
23845 Holman Hwy Ste 210
Monterey, CA 93940-5907
Phone
(831) 620-0700
Fax
(831) 620-0304
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X C52834 CA
Epilepsy Physician 2084E0001X C52834 CA Primary

Addresses

Primary practice location

23845 Holman Hwy Ste 210
Monterey, CA 93940-5907

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 242-8645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121128000377 CA Practitioner - NeurologyPractitioner - Epileptologists 1456487594 Reassigns benefits to 3 organizations
I20241206000380 CA Practitioner - Epileptologists 1456487594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Epileptologists
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians

Practice addresses (Care Compare)

23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 624-5311

23845 Holman Hwy
Monterey, CA 93940-5907
Phone (831) 620-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
73.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52834CAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Nov 5, 2012 Accepting new patients
Alameda Health System CurrentSince Nov 5, 2012 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Aug 5, 2013 Accepting new patients
Montage Medical Group CurrentSince Aug 1, 2013 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Aug 5, 2013 Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Medstar Georgetown Medical Center, Inc Past Accepting new patients

Locations

275 The Crossroads Blvd
Ste A
Carmel, CA 93923
Phone (831) 620-0296

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

2930 2nd Ave
#200
Marina, CA 93933
Phone (831) 582-2100

2930 2nd Ave
Marina, CA 93933
Phone (831) 532-2100

2 Upper Ragsdale Dr
Bldg B
Monterey, CA 93940
Phone (831) 643-6700

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

Organizations & group practices 7

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1659331296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-242-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23845 HOLMAN HWY STE 210",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405907",
            "telephone_number": "831-620-0700",
            "fax_number": "831-620-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGARDA",
        "first_name": "MARIS",
        "middle_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "C52834",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "CA",
            "license": "C52834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.