Active NPI
Martha Montealegre, NP
- Nephrology Physician
- Montebello, CA
National Provider Identifier
1831737162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 95013504
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95013504 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Specialists Medical Corporation | Nephrology | Current | Accepting new patients |
Locations
101 E Beverly Blvd
Ste 304
Montebello, CA 90640
Phone (323) 722-7418
Interoperability endpoints
- 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.
-
- Nephrology Physician
- Montebello, CA
- NPI 1184735235
CA, Nephrology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.