MARIAH RENEE MONTGOMERY (NPI# 1528694296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528694296 |
| Entity Type | Individual |
| Full Name | MARIAH RENEE MONTGOMERY |
| Credential | PA-C |
| Practice Address |
2650 S Bristol St Ste 101 Santa Ana CA 92704-5751 |
| Mailing Address |
19228 Bluebell Pl Riverside CA 92508-7100 |
| Practice Telephone | 7147541444 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2650 S BRISTOL ST STE 101 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750685780 | Mona Jasuja | Pediatrics | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2011-01-05 |
| 1205440377 | Claudia Alicia Rodriguez-zinn | Nurse Practitioner | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2020-09-04 |
| 1316448533 | Camille Alexandria Ferrer | Nurse Practitioner | 2650 S Bristol St Ste 101, Santa Ana, CA 92704 | 2018-02-22 |
| 1457880510 | Autumn Lauren Johnson | Physician Assistant | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2017-06-12 |
| 1528488087 | Sarah Elizabeth Brodhead | Nurse Practitioner | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581333 | Mckenzie Mcmahon | Physician Assistant | 1504 Brookhollow Dr Ste 119, Santa Ana, CA 92705-5418 | 2019-11-01 |
| 1386155208 | Yvonne Lam | Physician Assistant | 201 S. Broadway Ave, #208, Santa Ana, CA 92704-9270 | 2017-10-18 |
| 1255859948 | Jimmy Duc Bui | Physician Assistant | 2305 Strawberry Ln, Santa Ana, CA 92706-2240 | 2017-09-01 |
| 1518496256 | Sina Popal | Physician Assistant | 3210 S Shannon St, Santa Ana, CA 92704-6353 | 2017-06-07 |
| 1174058978 | Caroline Jo Dimatteo | Physician Assistant | 901 W Civic Center Clinic, Ste 120, Santa Ana, CA 92703 | 2017-04-29 |
| 1023467370 | Ivonne Landeros | Physician Assistant | 2010 Elite Pain Management, Suite 100, Santa Ana, CA 92705-6562 | 2016-06-08 |
| 1134544125 | Roberto Antonio Marin | Physician Assistant | 4402 W Camille St, Santa Ana, CA 92704-0614 | 2014-02-27 |
| 1891046330 | Vy-van Tran | Physician Assistant | 1212 S Bristol St Ste 16, Santa Ana, CA 92704-3439 | 2012-09-24 |
| 1316296932 | Van Laurie Nguyen | Physician Assistant | 1421 W Macarthur Blvd Ste E, Santa Ana, CA 92704-7318 | 2012-08-29 |
| 1871851519 | Jose Ruiz-ortega | Physician Assistant | 1430 W 1st St, Santa Ana, CA 92703-3724 | 2012-05-01 |
| Find all providers in SANTA ANA | ||||
Please comment or provide details below to improve the information on MARIAH RENEE MONTGOMERY.
| 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.