John D. Matrisciano MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JOHN D. MATRISCIANO MD INC

Practice address

2190 Lynn Rd Ste 200
Thousand Oaks, CA 91360-8020

Phone

(805) 379-4677

Fax

(805) 495-1829

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John D Matrisciano, M.D.

Title

Owner

Phone

(805) 379-4677

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1144573270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608020",
            "telephone_number": "805-379-4677",
            "fax_number": "805-495-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608020",
            "telephone_number": "805-379-4677",
            "fax_number": "805-495-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. MATRISCIANO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "MATRISCIANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-379-4677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Jivan
• Angeline Mae Jocson, MD
• Manraj Jaswir Singh Johal
• Johanna Jones
• Charles Toshimichi Johansen
• John M Delgado MD Inc
• John Y Hess MD a Medical Corporation
• Melissa M Johns, PT
• Amanda Johnson
• Charles P Johnson, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.