Individual provider Active NPI

Maria Montenegro, M.D.

  • Family Medicine Physician
  • Napa, CA
National Provider Identifier
1992719199
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C136695 Issued in CA
Practice address
1100 Trancas St Ste 256
Napa, CA 94558-2921
Phone
(707) 703-4863
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP30020425 TX
Family Medicine Physician 207Q00000X C136695 CA Primary

Addresses

Primary practice location

1100 Trancas St Ste 256
Napa, CA 94558-2921

Mailing address

7330 San Pedro Ste 405
San Antonio, TX 78216-6234
Phone (210) 344-2673

Other practice location 1

7330 San Pedro Ste 405
San Antonio, TX 78216-6234
Phone (210) 344-2673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916001875 CA Practitioner - Family PracticePractitioner - Hospitalist 4880796655 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1000 Trancas St
Napa, CA 94558-2906
Phone (707) 252-4411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C136695CAMDFamily Medicine Physician
BP30020425TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of California, Inc. CurrentSince Jul 25, 2015 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Nov 6, 2017 Accepting new patients
Providence Medical Foundation CurrentSince May 18, 2020 Accepting new patients
SV Hospitalist Medical Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince May 18, 2020 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1100 Trancas St
Ste 256
Napa, CA 94558
Phone (707) 253-7161

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1992719199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166234",
            "telephone_number": "210-344-2673",
            "fax_number": "210-344-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST STE 256",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582921",
            "telephone_number": "707-703-4863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7330 San Pedro Ste 405",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782166234",
            "country_code": "US",
            "telephone_number": "210-344-2673",
            "fax_number": "210-344-2649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP30020425",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C136695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.