Gary Matsumura MD a Professional Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GARY MATSUMURA MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

1817 Rockville Road
Fairfied, CA 94534-1412

Phone

(707) 695-8000

Fax

(707) 864-3506

NPI assigned

Mar 9, 2007

Last updated

Nov 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Arthur Matsumura, MD

Title

President

Phone

(707) 695-8000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1255463071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1862",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "94585",
            "telephone_number": "707-695-8000",
            "fax_number": "707-864-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 ROCKVILLE ROAD",
            "city": "FAIRFIED",
            "state": "CA",
            "postal_code": "945341412",
            "telephone_number": "707-695-8000",
            "fax_number": "707-864-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY MATSUMURA MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "MATSUMURA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-695-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0103180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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