Debbra Ann Montoya, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA748 Issued in NV

Practice address

1 Blackfield Dr
Suite # 314
Tiburon, CA 94920-2053

Phone

(415) 728-3796

Fax

(415) 789-5465

NPI assigned

Jun 9, 2010

Last updated

Aug 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1275714677

  NV

  Medicare reassignment Care Compare group NPD
• American Current Care P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• Saint Mary's Medical Group Inc

  dba Saint Mary's Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Reno, NV
  • NPI 1447635578
  NPD
• Newmd Urgent Care Center, Inc.

  • Urgent Care Clinic/Center
  • El Cerrito, CA
  • NPI 1255877650
  NPD (past)
• Northern Nevada Medical Group, LLC

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1972751618
  NPD (past)

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1922328251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLACKFIELD DR",
            "address_2": "SUITE # 314",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202053",
            "telephone_number": "415-728-3796",
            "fax_number": "415-789-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLACKFIELD DR",
            "address_2": "SUITE # 314",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202053",
            "telephone_number": "415-728-3796",
            "fax_number": "415-789-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "DEBBRA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "15475",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447316310",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Marylin McEwen, MD
• Eileeen Grace McKenzie, LMFT
• Cassie Merrier, PT
• David G Meyer, MFTI
• Deborah Mir, OTR/L
• Ilana Mazal Nachoum, PHYSICAL THERAPIST
• Eric E Nelson, DPT, OCS
• Kristen Nelson, DPT
• Olympic Physical Therapy
• Sherrin Jean Packer-Rosenthal, LMFT, MSW,ASW, PPSC

• Medical Physician Assistant in Tiburon, CA
• Providers in Tiburon, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.

Verify at the official NPI Registry.