Ernalyn C Montgomery, MSN, FNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

14445 Issued in CA

Practice address

34 Executive Park Ste 275
Irvine, CA 92614-4708

Phone

(949) 229-0323

NPI assigned

Nov 24, 2008

Last updated

Feb 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1942455597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 EXECUTIVE PARK STE 275",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144708",
            "telephone_number": "949-229-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 EXECUTIVE PARK STE 275",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144708",
            "telephone_number": "949-229-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19200 Von Karman Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926128516",
            "country_code": "US",
            "telephone_number": "949-229-0323",
            "fax_number": "949-225-4465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 E 4th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053916",
            "country_code": "US",
            "telephone_number": "714-824-8140 x105",
            "fax_number": "714-824-8142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ERNALYN",
        "middle_name": "C",
        "credential": "MSN, FNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2317",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "14445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelinne Montero, M.A.
• Kimberly Yadira Montero
• Tiffany Montes, OTR/L
• Jason Monteverde, B.A.
• Brianna Montgomery
• Melany Montiel Lobos
• Ian Montoya, LCSW
• Renalani Moodley
• Steven Moody, LCSW
• Moon M Oh M D Inc (Irvine Professional Medical Group)

• Psychiatric/Mental Health Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.