Active NPI
Maria Augusta Santos Montenegro, MD, PHD
- Neurology with Special Qualifications in Child Neurology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 83149
- Practice address
- 20 York Street (Yale New Haven Hospital)
New Haven, CT 06510 - Phone
- (858) 306-2510
- NPI assigned
- Aug 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 83149 | CT | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | A199057 | CA |
Addresses
Primary practice location
20 York Street (Yale New Haven Hospital)
New Haven, CT 06510
Mailing address
20 York Street (Yale New Haven Hospital)
New Haven, CT 06510
Phone (858) 309-6300
Other practice location 1
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3010 Childrens Way
San Diego, CA 92123-4223
Phone (858) 576-1700
3020 Children's Way
San Diego, CA 92123-4223
Phone (858) 576-1700
3030 Childrens Way
San Diego, CA 92123-4232
Phone (858) 576-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A199057 | CA | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rady Children's Hospital San Diego | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Rady Children's Hospital San Diego | Current | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Locations
File 57326
Los Angeles, CA 90074
25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277
8001 Frost St
San Diego, CA 92123
Phone (858) 966-5819
3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841
3030 Childrens Way
Fl 4
San Diego, CA 92123
Phone (858) 966-5846
3020 Childrens Way
#5003
San Diego, CA 92123
Phone (858) 309-6300
3030 Childrens Way
San Diego, CA 92123
Phone (858) 966-4003
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
7910 Frost St
Ste 180
San Diego, CA 92123
Phone (800) 966-8574
Organizations & group practices 6
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.
-
dba Rady Children's Specialists of San Diego, A Medical Foundation
- Pediatrics Physician
- San Diego, CA
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- Neurology Physician
- San Diego, CA
- NPI 1649372673
Neurology With Special Qualifications in Child Neurology
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- NPI 1851303994
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- NPI 1558463927
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
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- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1881313989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK STREET (YALE NEW HAVEN HOSPITAL)",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "858-309-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK STREET (YALE NEW HAVEN HOSPITAL)",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "858-306-2510"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS MONTENEGRO",
"first_name": "MARIA",
"middle_name": "AUGUSTA",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CT",
"license": "83149",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CA",
"license": "A199057",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.