Willett Medical Group

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WILLETT MEDICAL GROUP

Practice address

477 N El Camino Real Ste C312
Encinitas, CA 92024-1328

Phone

(760) 846-4424

Fax

(760) 589-1029

NPI assigned

Jun 8, 2026

Last updated

Sep 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Willett, MDNPI 1720328107

Title

Medical Director

Phone

(760) 846-4424

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Clifford Willett, M.D.

  • Dermatology Physician
  • Camp Pendleton, CA
  • NPI 1720328107
  NPD Authorized official

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1124951082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 CAMINITO SUENO",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920096001",
            "telephone_number": "760-846-4424",
            "fax_number": "760-589-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE C312",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-846-4424",
            "fax_number": "760-589-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLETT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-846-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Life Home Health Care, Inc. (Whole Life Home Care)
• Jay Robert Wick, LMFT
• Mary Berger Wiggins, LCSW
• Will & Chan Dental Corporation
• David A Willes
• Marti L. Willey, N.P.
• William C Holland MD a Professional Corporation (American Orthopaedic & Sports Medicine)
• William J Ackerman MD Apc (Pulmonary & Internal Medicine Associates)
• William J Dess, PH.D. Clinical Psychology a Prof Corp.
• William L. Heimer II, M.D., Apc

• Dermatology Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.