Meredith G Matzkin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A22909 Issued in CA

Practice address

2230 Lynn Rd
#102
Thousand Oaks, CA 91360-1901

Phone

(805) 495-0458

Fax

(805) 494-9630

NPI assigned

Apr 11, 2007

Last updated

Sep 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• M.Gene Matzkin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: m.matzkin@direct.mesmg.com

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1114141488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD",
            "address_2": "#102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601901",
            "telephone_number": "805-495-0458",
            "fax_number": "805-494-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD",
            "address_2": "#102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601901",
            "telephone_number": "805-495-0458",
            "fax_number": "805-494-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZKIN",
        "first_name": "MEREDITH",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A22909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WA22909A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.GENE",
            "last_name": "MATZKIN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alex Matthew Matavosian, PA-C
• Tania Mateos
• Lisa Lee Mathis, MD
• John D Matrisciano, MD
• Andrew Kunio Matsunaga, DDS
• Tom Maxim
• Juan Maya
• Grace T Mayemura
• Natalie Peyton Mayer, NONE
• Ryan Mayhew, BCBA

• Ophthalmology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.