Organization Active NPI

Matthew M DO. DPM, a Professional Corporation

  • Podiatrist
  • Anaheim, CA
National Provider Identifier
1104963545
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3881 Issued in CA
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

Updated by the provider on Mar 17, 2008

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
E3881OtherCALICENSE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.