Andrew M Matthew, M.D.
Individual provider Active NPI Pediatrics Physician · Oak Park, CA
NPI 1194809558 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194809558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- G35714 (CA)
- Practice address
- 358 Kanan Rd
Oak Park, CA 91377-1111 - Phone
- (818) 707-0046
- Fax
- (818) 707-2430
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G35714 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| Los Robles Regional Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G35714 | CA | Yes |
Addresses
Primary practice location
358 Kanan Rd
Oak Park, CA 91377-1111
Mailing address
29355 Castlehill Dr
Agoura Hills, CA 91301-4432
Phone (818) 889-9141
Other providers in Oak Park, CA
- Suzi Landolphi
- Andrew Levine
- Lindero Urgent Care & Med Spa
- Jenna Marcovitz
- Emily Markarian
- Neal Memarian
- Eileen Dale Misrahi
- Maria H Monica
- Nakajima Psychological and Educational Services
- Oak Park Smiles
All providers in Oak Park, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.