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MR. ERIC MARTIN MONTGOMERY SR. SUDCC
NPI 1164793188
Counselor - Addiction (Substance Use Disorder) in Colton, CA

Active since January 23, 2012
2275 E COOLEY DR, COLTON, CA 92324(951) 784-8010(951) 784-2859 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 30, 2021, Oct 20, 2020, Nov 29, 2018 (3 updates tracked since 2018).

About Mr. Eric Martin Montgomery Sr. Sudcc NPPES

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

MR. ERIC MARTIN MONTGOMERY SR. SUDCC (NPI 1164793188) is an individual addiction (substance use disorder) provider in Colton, California and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1164793188
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ERIC MARTIN MONTGOMERY SR.Credential: SUDCC
Location Address2275 E COOLEY DRColton, CA 92324-6324
Mailing Address1021 W La Cadena DrRiverside, CA 92501-1413 · (951) 784-8010 · Fax (951) 784-2859
Phone(951) 784-8010
Fax(951) 784-2859
Sole ProprietorNo
Enumeration DateJanuary 23, 2012
Last NPPES UpdateNovember 30, 20213 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1164793188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2275 E COOLEY DR, Colton, CA 92324
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Other Identifiers 1

Medicaid101YA0400XCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS JESSICA ESTRADA RECOVERY WORKER
Counselor (Addiction (Substance Use Disorder))
2275 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-1777
LEAH DENISE CERVANTES SUD COUNSELOR
Counselor (Addiction (Substance Use Disorder))
2275 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-1776
JESSICA FIGUEROA
Licensed Vocational Nurse
2275 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 543-0790
VALERIE LICAUSI
Counselor (Addiction (Substance Use Disorder))
2275 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-1777
MS. MARIA LOUISE ROBINSON LVN
Licensed Vocational Nurse
2275 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-1777
HALEY BOGGS
Counselor (Addiction (Substance Use Disorder))
2275 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-1777
MR. TONY JOHN ALVARRAN
Counselor (Addiction (Substance Use Disorder))
2275 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-1777
KELLY ALYNE ORTIZ CADC-II
Counselor (Addiction (Substance Use Disorder))
2275 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-1777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Montgomery's NPI number?

The NPI number for Eric Montgomery is 1164793188. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Where is Eric Montgomery located?

Eric Montgomery practices at 2275 E Cooley Dr, Colton, CA 92324. The listed phone number is (951) 784-8010.

What is Eric Montgomery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Eric Montgomery was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.