Matthew Dong, PA
Individual provider Active NPI Physician Assistant · Martinez, CA
NPI 1144612243 · NPPES record last updated Feb 26, 2015
Key facts
- NPI
- 1144612243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA22436 (CA)
- Practice address
- 1805 Arnold Dr
Martinez, CA 94553-4182 - Phone
- (925) 335-5050
- Fax
- (925) 335-5051
- NPI assigned
- Feb 26, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190521002316 | CA | Practitioner - Physician Assistant | 5698018307 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22436 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of California, a Medical Corporation | Current |
Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current |
Accepting new patients | |
| Care Onsite, Inc. | Past | Accepting new patients |
Locations
1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617
1855 Gateway Blvd
Ste 100
Concord, CA 94520
Phone (925) 684-7744
2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400
1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711
25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070
1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799
1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234
640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553
740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000
988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868
1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
1981 N Broadway
Ste 190
Walnut Creek, CA 94596
Phone (925) 932-7715
3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22436 | CA | Yes |
Addresses
Primary practice location
1805 Arnold Dr
Martinez, CA 94553-4182
Mailing address
805 Little Valley Rd
Martinez, CA 94553-4857
Phone (530) 574-1086
Other providers in Martinez, CA
- Lisa Domingo
- Jamie Nicole Domingos
- Charles Dominguez
- Ernie Laroco Domondon
- Nadine Donaldson
- Rose Marie Donnelly
- Diane Dooley
- Francisco Javier Dorado
- Doradocare
- Erica Dorfman
All providers in Martinez, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.