Provider Demographics
NPI:1427338813
Name:MONTGOMERY, FRANCIS JULIAN
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:JULIAN
Last Name:MONTGOMERY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 MARKET STREET
Mailing Address - Street 2:BOX 1312
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102
Mailing Address - Country:US
Mailing Address - Phone:415-476-3902
Mailing Address - Fax:415-476-3655
Practice Address - Street 1:1930 MARKET STREET
Practice Address - Street 2:BOX 1312
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-476-3902
Practice Address - Fax:415-476-3655
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
CAMPSS-YGTNBA175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator