Gonzalo Montalvan, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

A40568 Issued in CA

Practice address

3815 Atlantic Ave
Ste 3
Long Beach, CA 90807-3500

Phone

(562) 426-9482

Fax

(562) 424-1743

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Long Beach-Bixby Knolls Medical Clinic, Inc

  • Primary Care Clinic/Center
  • Long Beach, CA
  • NPI 1528852548
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1851336127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 ATLANTIC AVE",
            "address_2": "STE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073500",
            "telephone_number": "562-426-9482",
            "fax_number": "562-424-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 ATLANTIC AVE",
            "address_2": "STE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073500",
            "telephone_number": "562-426-9482",
            "fax_number": "562-424-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVAN",
        "first_name": "GONZALO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A40568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Louis Monroe, PH.D.
• Benjamin Monroy Jr.
• Jeanette Monroy
• Virginia F Monsanto, NP
• Sarah F Monson
• Ashley N Montanchez
• Cynthia Montanez
• Rosa Maria Montanez, AMFT140426
• Jaelyn Montano Schexnayder
• William M Montano II, CMT

• Legal Medicine in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.