Miriam Geraldine Matulich, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

464982 Issued in NU

Practice address

1 Hoag Drive
Newport Beach, CA 92663

Phone

(949) 764-8321

Fax

(949) 764-8055

NPI assigned

Jun 9, 2006

Last updated

Sep 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1346281672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 SKI HARBOR CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466313",
            "telephone_number": "714-964-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOAG DRIVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-764-8321",
            "fax_number": "949-764-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULICH",
        "first_name": "MIRIAM",
        "middle_name": "GERALDINE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "464982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alan Matsuyama, O.D.
• Matthew Houston Clark MD Inc (The Clark Center for Urogynecology)
• Matthew N. Koury, MD, MPH a Professional Corporation (Mind Health Institute, Newport Beach)
• Matthew R. Brown, Optometrist, a Professional Corporation
• Audrianne Jane Matthews
• Michelle Joanne Matusoff
• Narges Maududi, MSW
• Jeffrey Maur, CRT
• Elsa Mawani
• Mark F Maxwell, DDS

• Registered Dietitian in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.