Organization Active NPI

Jeffrey D Carter MD Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Monterey, CA
National Provider Identifier
1346570124
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
00G525640 Issued in CA
Legal business name
JEFFREY D CARTER MD INC
Practice address
21 Upper Ragsdale Dr
Suite 100
Monterey, CA 93940-7831
Phone
(831) 648-8020
Fax
(831) 648-8023
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Nichole Guzman
Title
Office Manager
Phone
(831) 648-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 00G525640 CA Primary

Addresses

Primary practice location

21 Upper Ragsdale Dr
Suite 100
Monterey, CA 93940-7831

Mailing address

21 Upper Ragsdale Dr
Suite 100
Monterey, CA 93940-7831
Phone (831) 648-8020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100701000250 CA Part B Supplier - Clinic/Group Practice 6507997723 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory

Locations

21 Upper Ragsdale Dr
Ste 100
Monterey, CA 93940
Phone (831) 648-8020

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": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1346570124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR",
            "address_2": "SUITE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407831",
            "telephone_number": "831-648-8020",
            "fax_number": "831-648-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR",
            "address_2": "SUITE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407831",
            "telephone_number": "831-648-8020",
            "fax_number": "831-648-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D CARTER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "831-648-8020"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "00G525640",
            "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 Jun 22, 2010; 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.

Verify at the official NPI Registry.