Individual provider Active NPI

Jessica Montoya, NP

  • Adult Health Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1730722034
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95012785 Issued in CA
Practice address
27290 Madison Ave Ste 102
Temecula, CA 92590-5672
Phone
(951) 296-2911
NPI assigned
Oct 20, 2019
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95012785 CA Primary

Addresses

Primary practice location

27290 Madison Ave Ste 102
Temecula, CA 92590-5672

Mailing address

27290 Madison Ave Ste 102
Temecula, CA 92590-5672
Phone (951) 296-2911

Other practice location 1

71780 San Jacinto Dr Bldg I
Rancho Mirage, CA 92270-5516
Phone (760) 568-3461

Other practice location 2

6848 Magnolia Ave
Riverside, CA 92506-2857
Phone (951) 289-9512

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241011003582 CA Practitioner - Nurse Practitioner 1153853320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ellison Medical Group Vein Treatment Center CurrentSince Jul 12, 2024 Accepting new patients
Ca Vein Medical PC PastSince Dec 24, 2023 Accepting new patients
NJ Vip Medical Services LLC PastSince Jan 28, 2024 Accepting new patients
Mni Medical Services, PLLC PastSince May 16, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
Larry & Sharon Williams Chiropractic Inc Past Accepting new patients

Locations

7677 Center Ave
Ste 310
Huntington Beach, CA 92647
Phone (669) 295-0501

4482 Barranca Pkwy
Ste 252
Irvine, CA 92604
Phone (669) 201-0667

1525 Superior Ave
Ste 202
Newport Beach, CA 92663
Phone (669) 295-0501

2248 Park Blvd
Palo Alto, CA 94306
Phone (650) 328-4411

15706 Pomerado Rd
Ste N202
Poway, CA 92064
Phone (669) 201-0667

5330 Carroll Canyon Rd
Ste 140
San Diego, CA 92121
Phone (858) 481-4888

1270 S Winchester Blvd
Ste 102
San Jose, CA 95128
Phone (408) 296-4222

27290 Madison Ave
Ste 102
Temecula, CA 92590
Phone (561) 498-3248

244 Madison Ave
#1120
New York, NY 10016
Phone (301) 523-8458

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1730722034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27290 MADISON AVE STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905672",
            "telephone_number": "951-296-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27290 MADISON AVE STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905672",
            "telephone_number": "951-296-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71780 San Jacinto Dr Bldg I",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922705516",
            "country_code": "US",
            "telephone_number": "760-568-3461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6848 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062857",
            "country_code": "US",
            "telephone_number": "951-289-9512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-20",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95012785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.