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

Nichole Dianne Montinola

Individual provider Physician Assistant · NPI 1154099794

Nichole Dianne Montinola is a Physician Assistant in Fresno, California. Qualified in 2022, 4 years ago. Practices with San Fernando Valley Vascular Group a Medical Corporation, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 443-2682
Fax: (559) 443-2681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 62133 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 62133 (CA)

Record details

NPI number1154099794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2021
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice San Fernando Valley Vascular Group A Medical Corporation — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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