Active NPI
Montage Physician Associates
- Clinic/Center
- Monterey, CA
National Provider Identifier
1114713724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MONTAGE PHYSICIAN ASSOCIATES
- Practice address
- 12 Upper Ragsdale Dr
Monterey, CA 93940-5730 - Phone
- (831) 242-3080
- NPI assigned
- Apr 18, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mark Carvalho, MD
- Title
- President/Ceo
- Phone
- (831) 242-3070
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12 Upper Ragsdale Dr
Monterey, CA 93940-5730
Mailing address
PO Box HH
Monterey, CA 93942-6032
Phone (831) 242-3070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2025.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744934400000",
"number": "1114713724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX HH",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939426032",
"telephone_number": "831-242-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 UPPER RAGSDALE DR",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405730",
"telephone_number": "831-242-3080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTAGE PHYSICIAN ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-18",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A",
"authorized_official_last_name": "CARVALHO",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "831-242-3070",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.