1. Home
  2. Directory
  3. Florida
  4. Orange Park
  5. Family Medicine
  6. NPI Profile

MONTEGA FAMILY MEDICINE PA
NPI 1306410634
Family Medicine - Adult Medicine in Orange Park, FL

Active since May 20, 2021CLIA 10D2224306 · Waiver
151 COLLEGE DR STE 3, ORANGE PARK, FL 32065(904) 639-5013(904) 639-5021 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Montega Family Medicine Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTEGA FAMILY MEDICINE PA (NPI 1306410634), doing business as Montega Medical, is a healthcare organization registered as an adult medicine in Orange Park, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Rafael A Garcia, Owner, as its authorized official.

NPPES Registry Identity

NPI1306410634
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMONTEGA FAMILY MEDICINE PA
Location Address151 COLLEGE DR STE 3Orange Park, FL 32065-7684
Mailing Address2271 Birdwood DrOrange Park, FL 32073-5339 · (904) 214-6719 · Fax (904) 239-5021
Phone(904) 639-5013
Fax(904) 639-5021
Organization SubpartNo
Authorized OfficialRafael A GarciaOwner · (904) 214-6719
Enumeration DateMay 20, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1306410634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
151 COLLEGE DR STE 3, Orange Park, FL 32065
Open in Google Maps ↗

Other Names 1

Doing Business AsMontega Medical

Other Identifiers 1

Medicaid009422900FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2224306

Montega Family Medicine PA · Orange Park, FL
Active · expires May 11, 2027
CLIA Number10D2224306
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorRafael A. Garcia
Laboratory Phone(904) 639-5013
Laboratory LocationMontega Family Medicine PA151 College Dr Ste 3, Orange Park, FL 32065
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montega Family Medicine PA's NPI number?

The NPI number for Montega Family Medicine PA is 1306410634. It was assigned to this organization in the NPPES registry on May 20, 2021. The provider is doing business as Montega Medical.

Where is Montega Family Medicine PA located?

Montega Family Medicine PA is located at 151 College Dr Ste 3, Orange Park, FL 32065. The listed phone number is (904) 639-5013.

What is Montega Family Medicine PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Montega Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2224306) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Montega Family Medicine PA was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.