Marisol Montero, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95029038 Issued in CA

Practice address

10 E Charter Way
Stockton, CA 95206-2075

Phone

(209) 460-1900

NPI assigned

Feb 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• La Loma Medical Group, Inc. 2

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1932377165
  NPD (past)

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1982468930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 OTIS DR",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016326",
            "telephone_number": "510-409-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E CHARTER WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062075",
            "telephone_number": "209-460-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "MARISOL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Angelo Montantes
• Angela Montecalvo
• Anabel Montejano
• Thelma Herlinda Montelongo, LVN 55123
• Kristen Brown Montero, FNP
• Melissa Montero
• Rebecca Monterrubio
• Luis Cyrus Montes de Oca, DO
• Mariel Montes
• Yaruby Guadalupe Montes

• Family Nurse Practitioner in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.