Active NPI
Matthew M DO. DPM, a Professional Corporation
- Podiatrist
- Anaheim, CA
National Provider Identifier
1104963545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3881
- Legal business name
- MATTHEW M DO. DPM, A PROFESSIONAL CORPORATION
- Practice address
- 934 S Euclid St
Anaheim, CA 92802-1523 - Phone
- (714) 533-3668
- Fax
- (714) 533-3669
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew DO
- Title
- Podiatrist
- Phone
- (714) 533-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3881 | CA | Primary |
Addresses
Primary practice location
934 S Euclid St
Anaheim, CA 92802-1523
Mailing address
934 S Euclid St
Anaheim, CA 92802-1523
Phone (714) 533-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E3881 | Other | CA | LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1104963545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 S EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928021523",
"telephone_number": "714-533-3668",
"fax_number": "714-533-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 S EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928021523",
"telephone_number": "714-533-3668",
"fax_number": "714-533-3669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW M DO. DPM, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "DO",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "714-533-3668"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E3881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "E3881",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.