MONTAGE SURGICAL GROUP NPI 1629864236

NPI Information

  • NPI: 1629864236
  • Provider Name: MONTAGE SURGICAL GROUP
  • Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
  • Entity Type: Organization
  • Address: 12 UPPER RAGSDALE DR
    MONTEREY, CA
    ZIP 93940
  • Phone: (831) 242-3080

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NPI Details

MONTAGE SURGICAL GROUP is a neuromusculoskeletal medicine sports medicine in Monterey, CA. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ MONTAGE SURGICAL GROUP NPI is 1629864236. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12 UPPER RAGSDALE DR
MONTEREY, CA
ZIP 93940-730
Phone: (831) 242-3080

The provider's authorized official is Mark Carvalho .
The authorized official title is President/ceo and has the following contact phone number (831) 242-3070.

The enumeration date for this NPI number is 4/18/2025 and was last updated on 10/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports MedicineNo
2208100000XPhysical Medicine & RehabilitationNo
3207T00000XNeurological SurgeryNo
4207XS0106XOrthopaedic SurgeryHand SurgeryNo
5207XX0005XOrthopaedic SurgerySports MedicineNo
6207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
7207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
8363A00000XPhysician AssistantNo
92085R0202XRadiologyDiagnostic RadiologyNo
10204C00000XNeuromusculoskeletal Medicine, Sports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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