MARIAM MONTOYA
NPI 1306522362
Nurse Practitioner - Family in San Bernardino, CA
About Mariam Montoya NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAM MONTOYA (NPI 1306522362) is an individual family provider in San Bernardino, California, licensed in California (95024019) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mariam Montoya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mariam Montoya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pomona, CA 91766
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92411
SAN BERNARDINO, CA 92411
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 Mariam Montoya's NPI number?
The NPI number for Mariam Montoya is 1306522362. It was assigned to this individual provider in the NPPES registry on June 26, 2023.
Where is Mariam Montoya located?
Mariam Montoya practices at 1800 Western Ave, San Bernardino, CA 92411. The listed phone number is (909) 880-9993.
What is Mariam Montoya's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mariam Montoya enrolled in Medicare?
Yes. Mariam Montoya is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mariam Montoya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Montoya reassigns Medicare benefits to 2 organizations: Molina Healthcare Of California (Pomona, CA) and Central Health Plan Of California, Inc. (Diamond Bar, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariam Montoya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mariam Montoya was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mariam Montoya · NPI 1306522362
Family physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since June 26, 2023.
## Identity
- **NPI:** 1306522362 (Entity type: Individual)
- **Enumerated:** June 26, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95024019 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1800 WESTERN AVE, San Bernardino, CA 92411-1356
- **Phone:** (909) 880-9993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Molina Healthcare Of California (NPI 1932214228, Pomona, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306522362) · Data from the CMS NPPES public registry.