Montpelier Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MONTPELIER SURGERY CENTER LLC

Practice address

2340 Montpelier Dr
San Jose, CA 95116-1622

Phone

(408) 347-1875

Fax

(408) 484-6339

NPI assigned

Jul 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5964

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Montpelier Surgery CenterCCN 05C0001530

Medicare certification status

ActiveFrom the Provider of Services file

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1235155730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 MONTPELIER DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161622",
            "telephone_number": "408-347-1875",
            "fax_number": "408-484-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 MONTPELIER DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161622",
            "telephone_number": "408-347-1875",
            "fax_number": "408-484-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTPELIER SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5964"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Montoya
• Lizzette Melissa Montoya
• Mikaila Karine Montoya
• Natalie Montoya
• Oralia Montoya
• Berneise Billote Montuya
• Armando Monzon
• Jill Moody, LPT
• Larry James Moody
• Parivash Moody, FNP

• Ambulatory Surgical Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.