LISA RENEE MONTANG


Address: 1030 International Blvd, Oakland, CA 94601
Phone: 5102385400

LISA RENEE MONTANG (NPI# 1003916263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003916263
Entity Type Individual
Full Name LISA RENEE MONTANG
Credential MD
Practice Address 1030 International Blvd
Oakland
CA 94601
Mailing Address Po Box 22210
Oakland
CA 94623-2210
Practice Telephone 5102385400
Practice Fax Number 5102385437
Mailing Telephone 5105354000
Mailing Fax Number 5105354189
Enumeration Date 2006-09-25
Last Update Date 2013-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine G73747 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA FPACT HAP11991F 01
CA FHC11991F 05
CA FQHC MEDICARE PART B ZZZ79046Z 01
CA FQHC MEDICARE PART A 55-1822 01

Office Location

Street Address 1030 INTERNATIONAL BLVD
City OAKLAND
State CA
Zip Code 94601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033178520 Monique Thiry-zaragoza Family Medicine 1030 International Blvd, Oakland, CA 94606 2006-03-22
1184107799 Denise Michelle Ochoa Registered Nurse 1030 International Blvd, Oakland, CA 94606-3730 2018-09-10
1417439498 Natalia Solano-rojas Dietitian, Registered 1030 International Blvd, Oakland, CA 94606-3730 2018-09-05
1558847772 Lea Siegel Social Worker 1030 International Blvd, Oakland, CA 94606-3730 2018-07-11
1063908895 Vivian Yu Registered Nurse 1030 International Blvd, Oakland, CA 94606-3730 2018-07-05
1376038828 Jeannette Soto Nurse Practitioner 1030 International Blvd, Oakland, CA 94606-3730 2018-06-27
1225523145 Jorge Luis Rosales Registered Nurse 1030 International Blvd, Oakland, CA 94606-3730 2018-06-23
1548774003 Clarisa Anguiano Counselor 1030 International Blvd, Oakland, CA 94606-3730 2017-11-20
1417407750 Caitlin Higginbotham Nurse Practitioner 1030 International Blvd, Oakland, CA 94606-3730 2016-10-11
1124576731 Peter Madril Dietitian, Registered 1030 International Blvd, Oakland, CA 94606-3730 2016-09-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750988762 Mohini Gadre Student in an Organized Health Care Education/Training Program Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 2020-10-02
1730704289 Francheska Baloy Student in an Organized Health Care Education/Training Program 13585 San Pablo, San Pablo, CA 94601 2020-06-10
1104476597 Jonathan Ramos Santiago Social Worker 13585 San Pablo, 1st Floor, San Pablo, CA 94601 2019-09-17
1205329802 Stefany Menjivar Student in an Organized Health Care Education/Training Program 3908 International Blvd, Oakland, CA 94601 2018-06-08
1710408430 Martha Alicia Rea Physician Assistant 3301 E. 12th St, Suite 113, Oakland, CA 94601 2017-07-03
1922528744 Jamie Erin Briskin Social Worker 3001 International Blvd., Oakland, CA 94601 2017-06-22
1194254706 Emily Lohmeyer Student in an Organized Health Care Education/Training Program 1501 Fruitvale Avenue, Oakland, CA 94601 2017-06-07
1124551494 Emily Chana Wolfe-roubatis Midwife 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 2017-04-04
1417327776 Ninfa M. Gutierrez Counselor 3124 International Blvd., Oakland, CA 94601 2015-09-30
1942600424 Reliable Care Express, Inc. Non-emergency Medical Transport (VAN) 828 27th Ave, Oakland, CA 94601 2014-09-03
Find all providers in zip 94601

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952942575 Roots Community Health Center Family Medicine 583 5th St Ste A, Oakland, CA 94607 2019-10-04
1699287334 Ann Blackwell Family Medicine 7312 Hillmont Dr, Oakland, CA 94605-2928 2017-11-03
1134579170 Jonathan Patberg Family Medicine 350 Hawthorne Ave Rm 2308, Oakland, CA 94609-3108 2016-06-21
1003279068 Van T Vu Family Medicine 250 E 18th Street, 2nd Floor, Oakland, CA 94606-1716 2016-03-29
1831559509 Hospital & Medical Foundation of Paris, Inc. Family Medicine 5 S. Walnut St., Oakland, IL 61943 2016-02-24
1356729826 Carroll-anne Heins Family Medicine 3600 Broadway Ste 43, Oakland, CA 94611-5730 2015-05-15
1568849743 Wei (wendy) Diao Family Medicine 1800 Harrison St Fl 9th, Oakland, CA 94612 2015-04-27
1902292030 Xiaoshuang Chen Family Medicine 835 Webster Street, Oakland, CA 94607-4219 2015-04-15
1356734859 Christina Gomez-mira Family Medicine 532 Chetwood St, Oakland, CA 94610-1428 2015-03-09
1669875498 Richard Kreutzer Family Medicine 7100 Homewood Dr, Oakland, CA 94611-1411 2014-10-07
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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