Matthew Douglas Pugh, D.O.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

20A12102 Issued in CA

Legal business name

MATTHEW DOUGLAS PUGH, D.O.

Practice address

754 Medical Center CT
206
Chula Vista, CA 91911-6654

Phone

(619) 482-4333

Fax

(619) 482-4445

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Matthew Douglas Pugh, D.O.NPI 1306077870

Title

Owner

Phone

(619) 482-4333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Matthew Douglas Pugh, D.O.

  • Clinical Cardiac Electrophysiology Physician
  • Chula Vista, CA
  • NPI 1306077870
  Medicare reassignment NPD Authorized official
• Maria Angelica Justo, AGACNP

  • Acute Care Nurse Practitioner
  • Chula Vista, CA
  • NPI 1992348205
  Medicare reassignment NPD
• Ravindra Prabhu, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Chula Vista, CA
  • NPI 1891751475
  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1053719898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 MEDICAL CENTER CT",
            "address_2": "206",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116654",
            "telephone_number": "619-482-4333",
            "fax_number": "619-482-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 MEDICAL CENTER CT",
            "address_2": "206",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116654",
            "telephone_number": "619-482-4333",
            "fax_number": "619-482-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW DOUGLAS PUGH, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-482-4333",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "20A12102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilia Mathie-Enciso, LMFCC
• Rafael Angel Matos, CATC-I
• Mariko Matsuda
• David Mitsuru Matsunaga, RPH
• Kayla Rebekah Matthes
• Spencer J'Cardale Mattox
• Andrea Mattson, RN
• Melida A Maughn, M.A.
• Shevette Laprail Maultsby, CMT, HHP
• Maung Aye DDS Inc

• Clinical Cardiac Electrophysiology Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinical Cardiac Electrophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.