Organization Active NPI

Montage Physician Associates

  • Clinic/Center
  • Monterey, CA
National Provider Identifier
1114713724
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.