Active NPI
Diana Montgomery, M.D.
- Pediatrics Physician
- San Francisco, CA
National Provider Identifier
1689618746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A88405
- Practice address
- 3580 California St Ste 101
San Francisco, CA 94118-1716 - Phone
- (415) 830-3090
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A88405 | CA | Primary |
Addresses
Primary practice location
3580 California St Ste 101
San Francisco, CA 94118-1716
Mailing address
3905 Sacramento St
Suite 301
San Francisco, CA 94118-1636
Phone (415) 752-8038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A884050 | Medicaid | CA |
Other names 1
- Dr. Diana Montgomery
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A88405 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Pediatrics Med GRP Inc | Pediatrics | Past | Accepting new patients |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- dmontgomery183057@hisp.ehr.sutterhealth.org
- diana.montgomery@412963523788804.direct.elationemr.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1366539884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1689618746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 SACRAMENTO ST",
"address_2": "SUITE 301",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181636",
"telephone_number": "415-752-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 CALIFORNIA ST STE 101",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181716",
"telephone_number": "415-830-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A88405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A884050",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "MONTGOMERY",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.