NPIMap

Individual provider Active NPI

Gustavo Montane

  • Marriage & Family Therapist
  • Palm Desert, CA
National Provider Identifier
1780169383
Registry record updated Dec 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
41990 Cook St Ste 801a
Palm Desert, CA 92211-6103
Phone
(442) 666-3217
NPI assigned
Sep 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

41990 Cook St Ste 801a
Palm Desert, CA 92211-6103

Mailing address

50249 Cesar Chavez St Ste K
Coachella, CA 92236-1530
Phone (442) 400-4706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724004299 CA Practitioner - Marriage and Family Therapist 6800303892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas de Salud del Pueblo Inc. CurrentSince May 1, 2025 Accepting new patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Clinicas de Salud del Pueblo, Inc CurrentSince May 1, 2025 Accepting new patients

Locations

321 W Hobsonway
Ste C
Blythe, CA 92225
Phone (760) 922-4981

1166 K St
Brawley, CA 92227
Phone (760) 344-3583

50249 Harrison St
Ste K
Coachella, CA 92236
Phone 7603449951 ext. 10169

852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257

Interoperability endpoints

  • Direct secure messaging: gustavo.montane.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 12

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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Clinicas de Salud del Pueblo Inc 42 clinicians

Practice addresses (Care Compare)

91275 66TH St
Suite 500
Mecca, CA 92254-6515
Phone (760) 396-1249

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1780169383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50249 CESAR CHAVEZ ST STE K",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361530",
            "telephone_number": "442-400-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST STE 801A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116103",
            "telephone_number": "442-666-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANE",
        "first_name": "GUSTAVO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.