Active NPI
Pribyl Montague Medical Corporation
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Napa, CA
National Provider Identifier
1952169682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- PRIBYL MONTAGUE MEDICAL CORPORATION
- Practice address
- 3434 Villa LN Ste 380
Napa, CA 94558-6416 - Phone
- (707) 646-4414
- NPI assigned
- Mar 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shea Pribyl, DO
- Title
- President
- Phone
- (707) 646-4414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
3434 Villa LN Ste 380
Napa, CA 94558-6416
Mailing address
1860 Pennsylvania Ave
Fairfield, CA 94533-3590
Phone (707) 646-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Napa, CA
- NPI 1639336050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1952169682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PENNSYLVANIA AVE",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333590",
"telephone_number": "707-646-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 VILLA LN STE 380",
"city": "NAPA",
"state": "CA",
"postal_code": "945586416",
"telephone_number": "707-646-4414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIBYL MONTAGUE MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "PRIBYL",
"authorized_official_first_name": "SHEA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-646-4414",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.