Matthew L Werner, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G079952 Issued in CA

Practice address

47250 Washington St
A
La Quinta, CA 92253-2105

Phone

(760) 771-9437

Fax

(760) 564-8581

NPI assigned

Mar 26, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Werner Gonzalez Medical Group Inc

  • Family Medicine Physician
  • La Quinta, CA
  • NPI 1043410707
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164540456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47250 WASHINGTON ST",
            "address_2": "A",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532105",
            "telephone_number": "760-771-9437",
            "fax_number": "760-564-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47250 WASHINGTON ST",
            "address_2": "A",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532105",
            "telephone_number": "760-771-9437",
            "fax_number": "760-564-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G079952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne E Waverek, MS, LMFT
• We Care Elder Care
• Shanice Weatherspoon, PHARM.D.
• Juliana Weed, CADC-CAS
• Werner Gonzalez Medical Group Inc
• Michael J White, D.D.S.
• Zachary Whittet
• Dharshini Nimalee Wickremasinghe-Kuhn, M.A., LPCC
• William Kiernan,O.D., Inc.
• Aidan T Wilson

• Family Medicine Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.