NPIMap

Organization Active NPI

Montes Medical Group Inc

  • Internal Medicine Physician
  • Whittier, CA
National Provider Identifier
1982873162
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G35182 Issued in CA
Legal business name
MONTES MEDICAL GROUP INC
Practice address
11822 Floral Dr
Whittier, CA 90601-2900
Phone
(562) 908-4355
Fax
(156) 290-8436
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dr. Juan Zepeda Montes, M.D.NPI 1548353055
Title
President
Phone
(310) 419-4354

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A64056 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G35182 CA Primary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X G35182 CA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A35815 CA

Addresses

Primary practice location

11822 Floral Dr
Whittier, CA 90601-2900

Mailing address

11822 Floral Dr
Whittier, CA 90601-2900
Phone (562) 908-4355

Other identifiers 1

IdentifierTypeStateIssuer
GR0026810MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000315 CA Part B Supplier - Clinic/Group Practice 6002946001 Receives reassigned benefits from 22 practitioners
3 other NPIs on this enrollment
Practice locations: Los Angeles, CA; Whittier, CA; Norwalk, CA; Inglewood, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0881853Montes Medical Group Inc11822 E Floral Dr, Whittier, CA 90601Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1982873162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11822 FLORAL DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012900",
            "telephone_number": "562-908-4355",
            "fax_number": "156-290-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11822 FLORAL DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012900",
            "telephone_number": "562-908-4355",
            "fax_number": "156-290-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ZEPEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-419-4354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64056",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G35182",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G35182",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A35815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0026810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.