Healthcare Provider Details

I. General information

NPI: 1275892481
Provider Name (Legal Business Name): MONTEREY PENINSULA SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2012
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 BLANCO CIR STE A
SALINAS CA
93901-4452
US

IV. Provider business mailing address

955 BLANCO CIR STE A
SALINAS CA
93901-4452
US

V. Phone/Fax

Practice location:
  • Phone: 831-753-5800
  • Fax: 831-753-5808
Mailing address:
  • Phone: 831-753-5800
  • Fax: 831-753-5808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CARRIE MILLSAP
Title or Position: CEO
Credential: BSN
Phone: 831-372-2169