Active NPI
Dennis Montejo, FNP-C
- Family Nurse Practitioner
- Norwalk, CA
National Provider Identifier
1932582558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95036152
- Practice address
- 13330 Bloomfield Ave # 209
Norwalk, CA 90650-3251 - Phone
- (562) 316-6555
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 559717 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95036152 | CA | Primary |
Addresses
Primary practice location
13330 Bloomfield Ave # 209
Norwalk, CA 90650-3251
Mailing address
2370 W Hansen St
Anaheim, CA 92801-3364
Phone (714) 408-8689
Other practice location 1
2370 W Hansen St
Anaheim, CA 92801-3364
Phone (714) 408-8689
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 559717 | CA | MD | Registered Nurse |
| 95036152 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Medics | Current | Accepting new patients | |
| Concierge Clinicians Inc | Family | Past | Accepting new patients |
Locations
13330 Bloomfield Ave
#209
Norwalk, CA 90650
Phone (562) 316-6555
Interoperability endpoints
- https://api.platform.athenahealth.com/22283/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Norwalk, CA
- NPI 1972489029
-
- Family Nurse Practitioner
- Norwalk, CA
- NPI 1891308359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1932582558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 W HANSEN ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928013364",
"telephone_number": "714-408-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13330 BLOOMFIELD AVE # 209",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503251",
"telephone_number": "562-316-6555"
}
],
"practiceLocations": [
{
"address_1": "2370 W Hansen St",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928013364",
"country_code": "US",
"telephone_number": "714-408-8689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTEJO",
"first_name": "DENNIS",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2025-07-22",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "559717",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95036152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.