Organization Active NPI

Matrix Parent Netwrok and Resource Center

  • Clinic/Center
  • Novato, CA
National Provider Identifier
1043354707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MATRIX PARENT NETWROK AND RESOURCE CENTER
Practice address
94 Galli Dr
Suite C
Novato, CA 94949-5739
Phone
(415) 884-3535
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nora Thompson
Title
Execuitve Director
Phone
(415) 884-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

94 Galli Dr
Suite C
Novato, CA 94949-5739

Mailing address

94 Galli Dr
Suite C
Novato, CA 94949-5739
Phone (415) 884-3535

National Provider Directory

National Provider Directory

Locations

94 Galli Dr
Ste C
Novato, CA 94949
Phone (415) 331-1795

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043354707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 GALLI DR",
            "address_2": "SUITE C",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949495739",
            "telephone_number": "415-884-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 GALLI DR",
            "address_2": "SUITE C",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949495739",
            "telephone_number": "415-884-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX PARENT NETWROK AND RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "EXECUITVE DIRECTOR",
        "authorized_official_telephone_number": "415-884-3535"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.