Individual provider Active NPI

Matthew Martin Scholl

  • Dermatology Physician
  • Albany, CA
National Provider Identifier
1215677232
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A207667 Issued in CA
Practice address
400 Evelyn Ave Ste 115
Albany, CA 94706-1350
Phone
(510) 524-0224
Fax
(510) 524-0215
NPI assigned
Mar 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A207667 CA Primary
Dermatology Physician 207N00000X V4743 TX

Addresses

Primary practice location

400 Evelyn Ave Ste 115
Albany, CA 94706-1350

Mailing address

400 Evelyn Ave Ste 115
Albany, CA 94706-1350
Phone (510) 524-0224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220523000625 TX Order and Referring Only - DermatologyPractitioner - Dermatology 0648657197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A207667CAMDDermatology Physician
V4743TXMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1215677232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE STE 115",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061350",
            "telephone_number": "510-524-0224",
            "fax_number": "510-524-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE STE 115",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061350",
            "telephone_number": "510-524-0224",
            "fax_number": "510-524-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "MATTHEW",
        "middle_name": "MARTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A207667",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "V4743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

Verify at the official NPI Registry.