Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian Montgomery, PA-C

Individual provider Physician Assistant · NPI 1093191504

Brian Montgomery, PA-C is a Physician Assistant in Riverside, California. Qualified in 2014, 12 years ago. Practices with Vital Care Health Group a Medical Corporation, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5976 Omega St
Riverside, CA 92506-4744
Phone: (951) 315-7630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA52698 (CA)

Record details

NPI number1093191504
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 6, 2015
Last updated in NPPESAugust 6, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Vital Care Health Group A Medical Corporation — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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