Active NPI
Gregory Sholeff MD Inc
- Family Medicine Physician
- Monterey, CA
National Provider Identifier
1114786373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GREGORY SHOLEFF MD INC
- Practice address
- 50 Ragsdale Dr Ste 120
Monterey, CA 93940-7804 - Phone
- (831) 375-8824
- Fax
- (831) 375-8804
- NPI assigned
- Mar 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Angela Matthews
- Title
- Practice Administrator
- Phone
- (831) 375-8822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
50 Ragsdale Dr Ste 120
Monterey, CA 93940-7804
Mailing address
50 Ragsdale Dr Ste 120
Monterey, CA 93940-7804
Phone (831) 375-8824
Other names 1
- Gregory Sholeff MD INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240603003723 | CA | Part B Supplier - Clinic/Group Practice | 2062954266 |
Receives reassigned benefits from 1 practitioner Practice locations: Monterey, CA |
National Provider Directory
National Provider DirectoryLocations
50 Ragsdale Dr
Ste 120
Monterey, CA 93940
Phone (831) 375-8824
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712707200000",
"number": "1114786373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 RAGSDALE DR STE 120",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407804",
"telephone_number": "831-375-8824",
"fax_number": "831-375-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 RAGSDALE DR STE 120",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407804",
"telephone_number": "831-375-8824",
"fax_number": "831-375-8804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY SHOLEFF MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-18",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "MATTHEWS",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "831-375-8822",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gregory Sholeff MD INC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.