Patrick Michael Monahan, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G60723 Issued in CA

Practice address

3803 S Bascom Ave
Ste 104
Campbell, CA 95008-7317

Phone

(408) 559-0666

Fax

(408) 377-0811

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Forest Medical Group, Inc.

  • Specialist
  • Campbell, CA
  • NPI 1366642225
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1891783148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 S BASCOM AVE STE 140",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086770",
            "telephone_number": "408-559-0666",
            "fax_number": "408-377-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 S BASCOM AVE",
            "address_2": "STE 104",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950087317",
            "telephone_number": "408-559-0666",
            "fax_number": "408-377-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G60723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G607230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soheyla Modallalkar
• Michelle Laudan Moezpoor
• Diana Mohana Prasad, M.D.
• Giti Mokhber-Pellicani, DC
• Mommy Made Me LLC
• Alen Naig Mondido
• Gabriela Montenegro
• Christelle Camila Montes Barraza
• Aaliyah Ariel Montgomery
• Kevin Patrick Moody

• Specialist in Campbell, CA
• Providers in Campbell, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.