Brenda Carol Montoya, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021814 Issued in CA

Practice address

1065 Kansas Ave
San Luis Obispo, CA 93405

Phone

(805) 234-3340

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• County of San Luis Obispo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paso Robles, CA
  • NPI 1134287634
  Medicare reassignment NPD
• County of San Luis Obispo

  • Public Health & General Preventive Medicine Physician
  • San Luis Obispo, CA
  • NPI 1518064948
  NPD
• County of San Luis Obispo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arroyo Grande, CA
  • NPI 1932563053
  NPD
• County of San Luis Obispo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Luis Obispo, CA
  • NPI 1841351525
  NPD (past)
• County of San Luis Obispo Drug and Alcohol Services

  • Marriage & Family Therapist
  • San Luis Obispo, CA
  • NPI 1013115468
  NPD (past)

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1700508629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 QUINTANA RD # 153",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421939",
            "telephone_number": "805-234-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 KANSAS AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93405",
            "telephone_number": "805-234-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "BRENDA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmontoya@co.slo.ca.us",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "630 Quintana Rd # 153",
            "city": "Morro Bay",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934421939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David B Montalvo
• Kathleen Patricia Monteros, REGISTERED NURSE
• Evelyn Alejandra Montes Grajeda
• Irianna Montes
• Daniel Joseph Montgomery
• Jessica Noel, Bohdana Moody
• Susan K Moon Labriola, NP
• Rebekah Alexander Mora, LCSW
• Yesenia Hernandez Mora
• Jonas Morales, NP

• Family Nurse Practitioner in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.