LISA MONTGOMERY M.D.
NPI 1811332950
Student in an Organized Health Care Education/Training Program in Riverside, CA

Q: What is Lisa Montgomery's NPI number?

The NPI number for Lisa Montgomery is 1811332950. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Q: What is Lisa Montgomery's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Montgomery was last updated on December 16, 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.

Active since May 02, 2013PECOS Enrolled

10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(951) 353-4539 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lisa Montgomery M.d. NPPES

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

LISA MONTGOMERY M.D. (NPI 1811332950) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811332950

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLISA MONTGOMERYCredential: M.D.

Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043

Mailing Address10800 Magnolia AveRiverside, CA 92505-3043

Phone(951) 353-4539

Sole ProprietorNo

Enumeration DateMay 2, 2013

Last NPPES UpdateDecember 16, 2021

✔ NPI 1811332950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10800 MAGNOLIA AVE, Riverside, CA 92505

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa 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.

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.

KAISER PERMANENTE

General Acute Care Hospital