Organization Active NPI

Montage Medical Group

  • Internal Medicine Physician
  • Carmel, CA
National Provider Identifier
1770710709
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MONTAGE MEDICAL GROUP
Practice address
275 The Crossroads Blvd Ste a
Carmel, CA 93923-8685
Phone
(831) 658-3639
Fax
(831) 643-0103
NPI assigned
Jun 17, 2009
Organization subpart
Yes
Parent organization
MONTAGE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Michael K McMillan
Title
Director
Phone
(831) 649-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

275 The Crossroads Blvd Ste a
Carmel, CA 93923-8685

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090904000027 CA Part B Supplier - Clinic/Group Practice 6406901941 Receives reassigned benefits from 159 practitioners
Practice locations: Carmel, CA; Monterey, CA; Marina, CA

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
05D2000108Montage Medical Group275 The Crossroads Ste a, Carmel, CA 93923Provider-performed microscopyFeb 25, 2028

National Provider Directory

National Provider Directory

Locations

3304 Commonwealth Dr
Bryant, AR 72022
Phone (501) 205-7020

2930 2nd Ave
Ste 2
Marina, CA 93933

2930 2nd Ave
#200
Marina, CA 93933
Phone (831) 582-2100

100 Wilson Rd
Monterey, CA 93940

30 Garden Ct
Ste 109
Monterey, CA 93940

23845 Holman Hwy
Ste 109
Monterey, CA 93940
Phone (415) 353-7449

2 Upper Ragsdale Dr
Bldg 230
Monterey, CA 93940

30 Garden Ct
Ste 201
Monterey, CA 93940

30 Garden Ct
#B
Monterey, CA 93940
Phone (831) 647-1123

23845 Holman Hwy
Monterey, CA 93940

2 Upper Ragsdale Dr
Ste A
Monterey, CA 93940

23845 Holman Hwy
Ste 105
Monterey, CA 93940
Phone (831) 333-3040

2 Upper Ragsdale Dr
Bldg B
Monterey, CA 93940
Phone (831) 643-6700

2 Upper Ragsdale Dr
#B
Monterey, CA 93940

2 Ragsdale Dr
Ste B230
Monterey, CA 93940

23625 Holman Hwy
Ste 109
Monterey, CA 93940

Practitioners & affiliated clinicians

Practitioners 171

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 171

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1770710709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-649-1000",
            "fax_number": "831-649-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 THE CROSSROADS BLVD STE A",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238685",
            "telephone_number": "831-658-3639",
            "fax_number": "831-643-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTAGE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTAGE HEALTH",
        "enumeration_date": "2009-06-17",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "831-649-1000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.