ANTHONY MICHAEL MONTEFUSCO NPI 1104817972

NPI Information

  • NPI: 1104817972
  • Provider Name: ANTHONY MICHAEL MONTEFUSCO
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13855 E 14TH ST
    SAN LEANDRO, CA
    ZIP 94578
  • Phone: (209) 342-2300

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NPI Details

Anthony Michael Montefusco is an emergency medicine in San Leandro, CA with 32 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Anthony Michael Montefusco NPI is 1104817972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

13855 E 14TH ST
SAN LEANDRO, CA
ZIP 94578-611
Phone: (209) 342-2300
Fax: (209) 524-4240

The NPI 1104817972 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 11/2/2005 and was last updated on 5/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineA65978CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A659780OTHERCALIFORNIABLUE SHIELD
200A659780MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3G84027MEDICARE UPIN
400A659780MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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