Matthew Bedell MD Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A124311 Issued in CA

Legal business name

MATTHEW BEDELL MD INC.

Practice address

950 Northgate Dr Ste 209
San Rafael, CA 94903-3433

Phone

(415) 461-5500

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Bedell

Title

Ceo

Phone

(858) 342-2781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1164961934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 NORTHGATE DR STE 209",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NORTHGATE DR STE 209",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033433",
            "telephone_number": "415-461-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW BEDELL MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-342-2781",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A124311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E. Mason, MD
• Brian R. Matas, MD
• Carolyn Haas Matranga
• Ryan William Matson, M.D.
• Beverly Rae Matsuishi, PH.D.
• Sarah Matthews
• Stephanie Mauro, LMFT
• Samantha Maxwell, BA
• Laura Mayorga
• Marilyn Mazer, LMFT

• Ophthalmology Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.