GORDON JAMES MONTGOMERY M.D.
NPI 1144226234
Specialist in Chula Vista, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since June 23, 2005PECOS Enrolled

835 THIRD AVE STE A, CHULA VISTA, CA 91911(619) 425-7755(619) 425-2138 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Gordon James Montgomery M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON JAMES MONTGOMERY M.D. (NPI 1144226234) is an individual specialist in Chula Vista, California, licensed in California (G31591) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144226234

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameGORDON JAMES MONTGOMERYCredential: M.D.

Location Address835 THIRD AVE STE AChula Vista, CA 91911-1352

Mailing Address835 Third Ave Ste AChula Vista, CA 91911-1352 · (619) 425-7755 · Fax (619) 425-2138

Phone(619) 425-7755

Fax(619) 425-2138

Sole ProprietorNo

Enumeration DateJune 23, 2005

Last NPPES UpdateAugust 26, 2020

NPPES CertifiedAugust 26, 2020

✔ NPI 1144226234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G31591

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

835 THIRD AVE STE A, Chula Vista, CA 91911

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Other Identifiers 3

OtherWG31591DCA · Medicare Pin # (r)

Medicaid00G315911CA

Medicaid00G5315910CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gordon James Montgomery M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.