Bella Gloria Montgomery, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN318912 Issued in CA

Practice address

150 Valpreda Rd
NCHS-San Marcos
San Marcos, CA 92069-2973

Phone

(619) 246-8404

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1821290206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 67TH ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415834",
            "telephone_number": "619-465-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VALPREDA RD",
            "address_2": "NCHS-SAN MARCOS",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692973",
            "telephone_number": "619-246-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BELLA",
        "middle_name": "GLORIA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN318912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Giovanny Mondragon Gaytan
• Monica Perlman MD, Inc
• Alyssa Y Montejano
• Karin Del Rocio Montemayor, RN
• Manuel Montemayor, MD
• Ellen Montgomery, D.M.D.
• Jennifer A Montgomery, PA-C
• Elizabeth Montiel, PPS
• Stacy Montiel
• Patricia Jean Mooney, NURSE PRACTITIONER

• Nurse Practitioner in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.