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

Montana Dewberry, PA-C

Individual provider Physician Assistant · NPI 1720763691

Montana Dewberry, PA-C is a Physician Assistant in Stanford, California. Qualified in 2023, 3 years ago. Practices with Stanford Health Care, a 3,085-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
3
Licensed in
CA, NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

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

Additional practice locations (2)

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 241-1653
  • 1468 Madison Ave, New York, NY 10029-6508 — (212) 241-6500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 64545 (CA)
Physician Assistant Taxonomy 363A00000X (NY)

Record details

NPI number1720763691
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 19, 2023
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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