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

Individual provider Physician Assistant · NPI 1528694296

Mariah Renee Montgomery, PA-C is a Physician Assistant in Orange, California. Qualified in 2019, 7 years ago. Practices with Regents of the University of California, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
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

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 880-7812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 — (714) 754-1444

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA57819 (CA)

Record details

NPI number1528694296
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 13, 2020
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Regents Of The University Of California — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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