MEDICARE: PETER J MONTANA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	167764405	CA

General Provider Information

NPI Number	:	1356677116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER J MONTANA

Provider Business Mailing Address
First Line	:	1421 COURTYARD DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1936
Country	:	US
Telephone Number	:	408-445-8485
Fax Number	:	408-705-2129

Provider Business Practice Location Address
First Line	:	1421 COURTYARD DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1936
Country	:	US
Telephone Number	:	408-445-8485
Fax Number	:	408-705-2129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2009
Last Update Date	:	10/28/2009

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1720335169 — PHUONGVY TRAN O.D.
Practice Location Address:

1449 COURTYARD DR
SAN JOSE, CA
95118-1936

Practice Phone: 408-460-7476
Practice Fax:

1598795114 — NGHI LUU M.D.
Practice Location Address:

725 E SANTA CLARA ST STE 103
SAN JOSE, CA
95112-1936

Practice Phone: 669-444-5466
Practice Fax: 408-294-6361

1134221948 — DR. SHERRY LANAY CHOCHOLATY D.C.
Practice Location Address:

1936 CAMDEN AVENUE , SUITE #2
SAN JOSE, CA
95124

Practice Phone: 408-377-5777
Practice Fax: 408-377-6277

1164617676 — TRAVIS ANDREW HUTCHINS RN
Practice Location Address:

425 E SANTA CLARA ST
SAN JOSE, CA
95113-1936

Practice Phone: 484-523-1127
Practice Fax:

1699948364 — JASON ESSWEIN LMFT
Practice Location Address:

1936 CAMDEN AVE STE 9
SAN JOSE, CA
95124-2845

Practice Phone: 408-975-2982
Practice Fax:

Directions to “ PETER J MONTANA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.