Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Michael Montefusco IV

Individual provider Emergency Medicine Physician · NPI 1104817972

Anthony Michael Montefusco IV is an Emergency Medicine in San Leandro, California. Graduated from Saint Louis University School of Medicine in 1994, 32 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Trained at
Saint Louis University School of Medicine
Licensed in
CA
In the registry since
2005
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13855 E 14th St
San Leandro, CA 94578-2611
Phone: (209) 342-2300
Fax: (209) 524-4240
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A65978 (CA)

Record details

NPI number1104817972
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESMay 28, 2008
Mailing address4301 Northstar Way, Modesto, CA 95356-9262

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Leandro