Pega M Montazeri, PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95015867 Issued in CA

Practice address

1885 Lundy Ave Ste 223
San Jose, CA 95131-1888

Phone

(408) 284-9000

NPI assigned

Feb 7, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Community Research Foundation

  • Community/Behavioral Health Agency
  • Chula Vista, CA
  • NPI 1720271448
  NPD (past)
• Mindful Health Solutions a Professional Medical Corporation

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1881894483
  NPD (past)

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1881226769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 LUNDY AVE STE 223",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311888",
            "telephone_number": "408-284-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 LUNDY AVE STE 223",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311888",
            "telephone_number": "408-284-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 El Camino Real Ste 250",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940103111",
            "country_code": "US",
            "telephone_number": "844-867-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAZERI",
        "first_name": "PEGA",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Ivonnivonn Monroy
• Rebekah Monson
• Ana Leasa Montalbano
• Victoria Isabel Montalvo
• Peter J Montana
• Andrea Monte-Alongi
• Christine Kay Montelaro, MPA
• Amada Montelongo
• Starlet Montenegro-Balot, MA
• Jena Barbara Montenegro

• Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.