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

Mr. Keith Allen Montgomery Jr., NP

Individual provider Medical-Surgical Registered Nurse · NPI 1790978617

Mr. Keith Allen Montgomery Jr., NP is a Medical-Surgical Registered Nurse in Adelanto, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

11965 Cactus Rd
Adelanto, CA 92301-4906
Phone: (760) 561-6081
Fax: (877) 778-9461
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95008198 (CA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 758758 (CA)

Record details

NPI number1790978617
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 23, 2007
Last updated in NPPESJuly 12, 2018