Gary L Matson DO Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6263 Issued in CA

Legal business name

GARY L MATSON DO INC

Practice address

4501 Mission Bay Dr 3E
San Diego, CA 92109

Phone

(858) 270-4343

Fax

(858) 272-1731

NPI assigned

May 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gary L Matson Jr., DONPI 1154344695

Title

Owner/President

Phone

(858) 270-4343

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary L. Matson Jr., D.O.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1154344695
  Medicare reassignment NPD Authorized official
• Erika Novak, L.AC.

  • Acupuncturist
  • San Diego, CA
  • NPI 1871527044
  NPD (past)

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1225357833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR 3E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "858-270-4343",
            "fax_number": "858-272-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR 3E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "858-270-4343",
            "fax_number": "858-272-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L MATSON DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-270-4343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX62631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary a Cohen MD Inc (Allergy & Asthma Prevention and Treatment Center)
• Gary a. Weissberg, M.D., Inc.
• Gary and Mary West Senior Dental Center, Inc.
• Gary D. Levinson M.D., Inc.
• Gary J. Miller Chiropractic Inc.
• Gary Sneag OD Optometric Corporation
• Jay Christopher Gary, MA, MFT
• Lynn Beth Gary, LMFT
• Oliska Gary
• Rati Garyali

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, 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 May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.