NPIMap

Organization Active NPI

Monterey Peninsula Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Monterey, CA
National Provider Identifier
1285872945
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MONTEREY PENINSULA SURGERY CENTER LLC
Practice address
665 Munras Avenue, Suite 100
Suite 100
Monterey, CA 93940
Phone
(831) 372-2169
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Ms. Carrie Millsap, BSN
Title
Ceo
Phone
(831) 372-2169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

665 Munras Avenue, Suite 100
Suite 100
Monterey, CA 93940

Mailing address

9699 Blue Larkspur LN Ste 202
Monterey, CA 93940-6552
Phone (831) 372-2169

Other names 1

  • Monterey Peninsula Surgery Center Munras Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251031003405 CA Part B Supplier - Ambulatory Surgical Center 4587744974 Practice locations: Monterey, CA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Monterey Peninsula Surgery Center Munras AveCCN 05C0001511
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2001875Monterey Peninsula Surgery Center Munras Avenue665 Munras Avenue Suite 100, Monterey, CA 93940Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Monterey Peninsula Surgery Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1285872945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9699 BLUE LARKSPUR LN STE 202",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406552",
            "telephone_number": "831-372-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 MUNRAS AVENUE, SUITE 100",
            "address_2": "SUITE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-372-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY PENINSULA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "MILLSAP",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-372-2169",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey Peninsula Surgery Center Munras",
            "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 Dec 31, 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.