Montebello Health and Wellness Care, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MONTEBELLO HEALTH AND WELLNESS CARE, LLC

Practice address

1355 N Greenfield Rd
Gilbert, AZ 85234-2813

Phone

(602) 524-5521

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Jimmy Evans

Title

Director

Phone

(602) 697-3488

Specialties & licenses 1

Addresses

Other names 1

• Montebello Health and Wellness Care Doing business as

Locations

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1861024556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N GREENFIELD RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N GREENFIELD RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342813",
            "telephone_number": "602-524-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEBELLO HEALTH AND WELLNESS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-697-3488"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montebello Health and Wellness Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Dean Montano, CRNA
• John Erik Montano
• Yolanda Elena Montano
• Karen Monte de Oca Mendoza, RBT
• Montebello Assisted Living 3, LLC
• Jessica Ann Montes de Oca, FNP
• Adeline Cheri Montgomery, SLPA
• Derek Montgomery
• Victoria Montgomery, PT, DPT
• Kaylene Marie Montierth

• Specialist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.