Matthew Thomas Wilson MD Facs

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A53944 Issued in CA

Legal business name

MATTHEW THOMAS WILSON MD FACS

Practice address

436 N. Bedford Drive
Suite 103
Beverly Hills, CA 90210

Phone

(310) 777-8830

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Thomas Wilson, M.D.NPI 1548244247

Title

President

Phone

(310) 777-8830

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Wilson, M.D.

  • Specialist
  • Temecula, CA
  • NPI 1548244247
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1013146539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 892649",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N. BEDFORD DRIVE",
            "address_2": "SUITE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-777-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW THOMAS WILSON MD FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-777-8830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A53944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A539440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Matson, PSY.D LMFT
• Kazuko Matsuda, M.D.
• Matthew Kollefrath, M.D., Inc.
• Matthew Parr NP
• Matthew Siedhoff MD PC
• Joseph Mattina, DC
• Mauer Chiropractic Inc
• Andrew Mauer, D.C.
• Max Heart Health Inc.
• David Robert May, AMFT

• Neurological Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.