MIA RAQUEL MONTOYA MD
NPI 1912534413
Student in an Organized Health Care Education/Training Program in San Bernardino, CA

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
1717 E DATE PL, SAN BERNARDINO, CA 92404(833) 574-2273 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2021, Mar 25, 2020 (2 updates tracked since 2020).

About Mia Raquel Montoya Md NPPES

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

MIA RAQUEL MONTOYA MD (NPI 1912534413) is an individual student in an organized health care education/training program in San Bernardino, California and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912534413
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIA RAQUEL MONTOYACredential: MD
Location Address1717 E DATE PLSan Bernardino, CA 92404-6720
Mailing Address650 Jeremy CtRedlands, CA 92374
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
NPI 1912534413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1717 E DATE PL, San Bernardino, CA 92404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mia Raquel Montoya Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749639425
PECOS Enrollment IDI20231206002177
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 9

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

Pharmacist
1717 E DATE PL
SAN BERNARDINO, CA 92404
Pharmacy (Community/Retail Pharmacy)
1717 E DATE PL
SAN BERNARDINO, CA 92404
Pharmacist
1717 E DATE PL
SAN BERNARDINO, CA 92404
Family Medicine
1717 E DATE PL
SAN BERNARDINO, CA 92404
Family Medicine
1717 E DATE PL
SAN BERNARDINO, CA 92404
Pharmacist
1717 E DATE PL
SAN BERNARDINO, CA 92404
Family Medicine
1717 E DATE PL
SAN BERNARDINO, CA 92404
Family Medicine
1717 E DATE PL
SAN BERNARDINO, CA 92404

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 Mia Montoya's NPI number?

The NPI number for Mia Montoya is 1912534413. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Mia Montoya located?

Mia Montoya practices at 1717 E Date Pl, San Bernardino, CA 92404. The listed phone number is (833) 574-2273.

What is Mia Montoya's specialty?

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

Is Mia Montoya enrolled in Medicare?

Yes. Mia Montoya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mia Montoya was last updated on June 26, 2023. 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.