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

Nicholas Montoya, SUDRC

Individual provider Community Health Worker · NPI 1801428057

Nicholas Montoya, SUDRC is a Community Health Worker in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Phone: (619) 398-0355
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1801428057
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorYes
NPI enumeratedFebruary 6, 2020
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

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