MEDICARE: DR. JOHN A DEL MONTE DPM

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	213E00000X	Podiatrist	E1977	CA
2	332B00000X	Durable Medical Equipment & Medical Supplies	E1977	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669428694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A DEL MONTE DPM

Provider Business Mailing Address
First Line	:	441A MARCH AVE
Second Line	:
City	:	HEALDSBURG
State	:	CA
Zip	:	95448-3363
Country	:	US
Telephone Number	:	707-433-4821
Fax Number	:	707-433-0523

Provider Business Practice Location Address
First Line	:	441A MARCH AVE
Second Line	:
City	:	HEALDSBURG
State	:	CA
Zip	:	95448-3363
Country	:	US
Telephone Number	:	707-433-4821
Fax Number	:	707-433-0523

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	02/24/2016

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