Organization Active NPI

Montano Neurology Care Group

  • Neurology Physician
  • Newport Beach, CA
National Provider Identifier
1699410282
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MONTANO NEUROLOGY CARE GROUP
Practice address
520 Superior Ave Ste 200
Newport Beach, CA 92663-3642
Phone
(949) 726-9798
Fax
(949) 449-8282
NPI assigned
Apr 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Dr. Mark Anthony Montano, MDNPI 1871577619
Title
Owner
Phone
(949) 910-0292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

520 Superior Ave Ste 200
Newport Beach, CA 92663-3642

Mailing address

PO Box 12588
Costa Mesa, CA 92627-8404
Phone (949) 910-0292

Other practice location 1

2813 N Broadway
Los Angeles, CA 90031-2611
Phone (949) 726-9798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220526000278 CA Part B Supplier - Clinic/Group Practice 0345628780 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA; Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

6499 S Kings Ranch Rd
Ste 6
Gold Canyon, AZ 85118

2813 N Broadway
Los Angeles, CA 90031
Phone (323) 342-9764

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26127/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1699410282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12588",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926278404",
            "telephone_number": "949-910-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633642",
            "telephone_number": "949-726-9798",
            "fax_number": "949-449-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2813 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900312611",
            "country_code": "US",
            "telephone_number": "949-726-9798",
            "fax_number": "949-449-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTANO NEUROLOGY CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-910-0292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.