Active NPI
Carlos Xavier Montano, M.D.
- Specialist
- Costa Mesa, CA
National Provider Identifier
1669418794
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective May 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A41718
- Practice address
- 1545 Nutmeg Place
Costa Mesa, CA 92626-2525 - Phone
- (714) 617-5956
- Fax
- (714) 617-5955
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A41718 | CA | Primary |
Addresses
Primary practice location
1545 Nutmeg Place
Costa Mesa, CA 92626-2525
Mailing address
1545 Nutmeg Place
Costa Mesa, CA 92626-2525
Phone (714) 617-5956
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A41718 | CA | MD | Specialist |
| 41718 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1669418794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 NUTMEG PLACE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262525",
"telephone_number": "714-617-5956",
"fax_number": "714-617-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 NUTMEG PLACE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262525",
"telephone_number": "714-617-5956",
"fax_number": "714-617-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANO",
"first_name": "CARLOS",
"middle_name": "XAVIER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A41718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.