Mason Montano, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in La Jolla, California. His current practice location is
9300 Campus Point Dr, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at
(858) 657-7000.
Mason Montano is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467033282.
Physician's Profile
Full Name | Mason Montano |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 9300 Campus Point Dr, La Jolla, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467033282
- Provider Enumeration Date: 04/15/2021
- Last Update Date: 07/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668851353
- Enrollment ID: I20220627002947
Medical Identifiers
Medical identifiers for Mason Montano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467033282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 201839 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mason Montano is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mason Montano, 9500 Gilman Dr # 7381, La Jolla, CA 92093-7381 Ph: () - | Mason Montano, 9300 Campus Point Dr, La Jolla, CA 92037-1300 Ph: (858) 657-7000 |
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