Organization Active NPI

Monterey Medical Center

  • Specialist
  • Monterey, CA
National Provider Identifier
1588859532
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A86288 Issued in CA
Legal business name
MONTEREY MEDICAL CENTER
Practice address
100 Wilson Rd.
Suite 110
Monterey, CA 93940-7885
Phone
(831) 642-6266
Fax
(831) 642-9244
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Radhika Mohandas, MD
Title
Owner
Phone
(831) 642-6266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A86288 CA Primary

Addresses

Primary practice location

100 Wilson Rd.
Suite 110
Monterey, CA 93940-7885

Mailing address

100 Wilson Rd.
Suite 110
Monterey, CA 93940-7885
Phone (831) 642-6266

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ03111ZOtherPTAN

Other names 1

  • Monterey Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

100 Wilson Rd
Ste 110
Monterey, CA 93940
Phone (831) 642-6266

Practitioners & affiliated clinicians

Practitioners 3

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": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1588859532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD.",
            "address_2": "SUITE 110",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-642-6266",
            "fax_number": "831-642-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILSON RD.",
            "address_2": "SUITE 110",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-642-6266",
            "fax_number": "831-642-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MOHANDAS",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-642-6266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ03111Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey Medical Center",
            "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 Mar 7, 2023; 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.