Active NPI
Sandra Montano Yamat, M.D.
- Pediatrics Physician
- Lakewood, WA
National Provider Identifier
1760540959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60025230
- Practice address
- 7424 Bridgeport Way West
Suite 103
Lakewood, WA 98499-8137 - Phone
- (253) 581-2111
- Fax
- (253) 581-2712
- NPI assigned
- Dec 4, 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 | MD60025230 | WA | Primary |
Addresses
Primary practice location
7424 Bridgeport Way West
Suite 103
Lakewood, WA 98499-8137
Mailing address
7424 Bridgeport Way West
Suite 103
Lakewood, WA 98499-8137
Phone (253) 581-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8521940 | Medicaid | WA |
Other names 1
- Sandra T Montano
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60025230 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea-Mar Community Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1942358817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1760540959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7424 BRIDGEPORT WAY WEST",
"address_2": "SUITE 103",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998137",
"telephone_number": "253-581-2111",
"fax_number": "253-581-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7424 BRIDGEPORT WAY WEST",
"address_2": "SUITE 103",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998137",
"telephone_number": "253-581-2111",
"fax_number": "253-581-2712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAT",
"first_name": "SANDRA",
"middle_name": "MONTANO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60025230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8521940",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "MONTANO",
"middle_name": "T",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.