MONTROSE MEDICAL GROUP
NPI 1508575937
Family Medicine in Montrose, CA

Active since November 15, 2022
2490 HONOLULU AVE STE 128, MONTROSE, CA 91020(510) 300-5473 Get Directions Write a Review

NPPES record last updated: December 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2022, Dec 2, 2022, Nov 15, 2022 (3 updates tracked since 2022).

About Montrose Medical Group NPPES

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

MONTROSE MEDICAL GROUP (NPI 1508575937) is a healthcare organization registered as a family medicine in Montrose, California and active in the NPI registry since November 2022. The organization lists Faisal Uraizee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508575937
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMONTROSE MEDICAL GROUP
Location Address2490 HONOLULU AVE STE 128Montrose, CA 91020-1800
Mailing Address4684 Ariel AveFremont, CA 94555-2008 · (510) 300-5473
Organization SubpartNo
Authorized OfficialFaisal UraizeeCeo · (510) 300-5473
Enumeration DateNovember 15, 2022
Last NPPES UpdateDecember 11, 20223 updates tracked since enumeration
NPPES CertifiedDecember 11, 2022
✔ NPI 1508575937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
2490 HONOLULU AVE STE 128, Montrose, CA 91020

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montrose Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Montrose Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1295392686
2490 HONOLULU AVE STE 128
Montrose, CA 91020
(818) 330-9960
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1033672357
2490 HONOLULU AVE STE 128
Montrose, CA 91020
(818) 330-9960
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Montrose Medical Group's NPI number?

The NPI number for Montrose Medical Group is 1508575937. It was assigned to this organization in the NPPES registry on November 15, 2022.

Where is Montrose Medical Group located?

Montrose Medical Group is located at 2490 Honolulu Ave Ste 128, Montrose, CA 91020. The listed phone number is (510) 300-5473.

What is Montrose Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Montrose Medical Group enrolled in Medicare?

Yes. Montrose Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montrose Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Montrose Medical Group. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Montrose Medical Group was last updated on December 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.