Individual provider Active NPI

Martha Montealegre, NP

  • Nephrology Physician
  • Montebello, CA
National Provider Identifier
1831737162
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
95013504 Issued in CA
Practice address
101 E Beverly Blvd
Montebello, CA 90640-4300
Phone
(323) 722-7418
NPI assigned
Dec 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 95013504 CA Primary

Addresses

Primary practice location

101 E Beverly Blvd
Montebello, CA 90640-4300

Mailing address

12501 Beverly Blvd
Whittier, CA 90601-3039
Phone (323) 350-3662

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
I20231208001291 CA Practitioner - Nurse Practitioner 5597114058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Kidney Specialists Medical Corporation 5 clinicians

Practice addresses (Care Compare)

101 E Beverly Blvd
Suite 304
Montebello, CA 90640-4316
Phone (323) 722-7418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95013504CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists Medical Corporation Nephrology CurrentSince Oct 1, 2023 Accepting new patients

Locations

101 E Beverly Blvd
Ste 304
Montebello, CA 90640
Phone (323) 722-7418

Interoperability endpoints

  • Direct secure messaging: martha.montealegre@direct.davitaphysiciansolutions.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1831737162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 BEVERLY BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013039",
            "telephone_number": "323-350-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404300",
            "telephone_number": "323-722-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEALEGRE",
        "first_name": "MARTHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "95013504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.