MONTAGE SURGICAL GROUP - NPI 1629864236 - Neuromusculoskeletal Medicine, Sports Medicine in Monterey, CA

Q: What is Montage Surgical Group's NPI number?

The NPI number for Montage Surgical Group is 1629864236. It was assigned to this organization in the NPPES registry on April 18, 2025.

Q: What is Montage Surgical Group's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

On this page

About Montage Surgical Group NPPES

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

MONTAGE SURGICAL GROUP (NPI 1629864236) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Monterey, California and active in the NPI registry since April 2025. The organization lists Mark Carvalho, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629864236

Entity TypeOrganization

Primary Taxonomy204C00000X

Legal Business NameMONTAGE SURGICAL GROUP

Location Address12 UPPER RAGSDALE DRMonterey, CA 93940-5730

Mailing AddressPo Box HhMonterey, CA 93942-6032 · (831) 242-3070

Phone(831) 242-3080

Organization SubpartYesParent: Montage Health

Authorized OfficialMark CarvalhoPresident/ceo · (831) 242-3070

Enumeration DateApril 18, 2025

Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration

NPPES CertifiedOctober 20, 2025

✔ NPI 1629864236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

Definition

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/

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedPhysician AssistantTaxonomy 363A00000X

12 UPPER RAGSDALE DR, Monterey, CA 93940

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOHRAB GOLLOGLY MD PC

Orthopaedic Surgery

12 UPPER RAGSDALE DR
MONTEREY, CA 93940

Monterey County (831) 648-7200

CHRISTOPHER M MECKEL MD PC

Orthopaedic Surgery

12 UPPER RAGSDALE DR
MONTEREY, CA 93940

Monterey County (831) 648-7200

DRAGAN F DIMITROV MD A PROFESSIONAL MEDICAL CORPORATION

Neurological Surgery

12 UPPER RAGSDALE DR
MONTEREY, CA 93940

Monterey County (831) 648-7200

KIMBERLY ANN LEARNER PTA

Physical Therapy Assistant

12 UPPER RAGSDALE DR
MONTEREY, CA 93940

Monterey County (831) 375-1562

AVERY CARR-BOYD NILSEN PT

Physical Therapist

12 UPPER RAGSDALE DR, SUITE B
MONTEREY, CA 93940

Monterey County (831) 375-1562

GARY J. CHANG M.D.

Anesthesiology (Pain Medicine)

12 UPPER RAGSDALE DR
MONTEREY, CA 93940

Monterey County (831) 648-7200

RICHARD V RAVALIN MD

Orthopaedic Surgery

12 UPPER RAGSDALE DR
MONTEREY, CA 93940

Monterey County (831) 648-7200

KATHERINE JIMENEZ P.A.

Physician Assistant (Medical)

12 UPPER RAGSDALE DR
MONTEREY, CA 93940

Monterey County (831) 648-7200

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 Montage Surgical Group's NPI number?

The NPI number for Montage Surgical Group is 1629864236. It was assigned to this organization in the NPPES registry on April 18, 2025.

Where is Montage Surgical Group located?

Montage Surgical Group is located at 12 Upper Ragsdale Dr, Monterey, CA 93940. The listed phone number is (831) 242-3080.

What is Montage Surgical Group's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Montage Surgical Group was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.