Active NPI
Yvita C. Montgomery, B.S.
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1871799098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2500 Wilshire Blvd
7
Los Angeles, CA 90057-4303 - Phone
- (213) 639-2689
- NPI assigned
- Jun 25, 2007
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
2500 Wilshire Blvd
7
Los Angeles, CA 90057-4303
Mailing address
757 W Sepulveda St Unit B
San Pedro, CA 90731-1941
Phone (213) 639-2689
Other names 1
- Miss Yvita C. Montgomery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1871799098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 W SEPULVEDA ST UNIT B",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907311941",
"telephone_number": "213-639-2689",
"fax_number": "213-389-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 WILSHIRE BLVD",
"address_2": "7",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574303",
"telephone_number": "213-639-2689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "YVITA",
"middle_name": "C.",
"name_prefix": "Miss",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YVITA",
"last_name": "MONTGOMERY",
"middle_name": "C.",
"prefix": "MISS",
"credential": "B.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.