Montecristo Medical PC
NPI 1699268631 · Primary Care Clinic/Center · Van Nuys, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Montecristo Medical PC is a Primary Care Clinic/Center organization in Van Nuys, CA (NPI 1699268631).
Provider details
- NPI number
- 1699268631
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anita Gonzalez, President(818) 568-6923
- License
- A100277 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 14350 Victory Blvd Ste 3Van Nuys, CA 91401-1994Phone: (818) 786-8396Fax: (818) 901-7128
- 14350 Victory Blvd Ste 3Van Nuys, CA 91401-1994Phone: (818) 786-8396Fax: (818) 901-7128
Registry dates
- Enumerated
- 2018-06-13
- Last updated
- 2019-10-23
Frequently asked questions
- What is Montecristo Medical PC's NPI number?
- Montecristo Medical PC's National Provider Identifier (NPI) is 1699268631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Montecristo Medical PC?
- Montecristo Medical PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Montecristo Medical PC located?
- Montecristo Medical PC's practice location on file with NPPES is 14649 Victory Blvd Ste 20, Van Nuys, CA 91411.
- What is Montecristo Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Montecristo Medical PC is (818) 786-8396.
- Does Montecristo Medical PC accept Medicare?
- Montecristo Medical PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Montecristo Medical PC?
- The authorized official listed on Montecristo Medical PC's NPPES record is Anita Gonzalez, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Montecristo Medical PC's NPI active?
- Yes — Montecristo Medical PC's NPI (1699268631) is active in the NPPES registry as of the last update on 2019-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.