Matthew D. Mingrone, MD, a Professional Corporation

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

A67205 Issued in CA

Legal business name

MATTHEW D. MINGRONE, MD, A PROFESSIONAL CORPORATION

Practice address

555 Knowles Dr
Suite 121
Los Gatos, CA 95032-1549

Phone

(408) 374-4370

Fax

(408) 374-8526

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Dominic Mingrone, MDNPI 1912029919

Title

Ceo

Phone

(408) 374-4370

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew Dominic Mingrone, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Francisco, CA
  • NPI 1912029919

  Plastic Surgery Within the Head and Neck

  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376665380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR",
            "address_2": "SUITE 121",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321549",
            "telephone_number": "408-374-4370",
            "fax_number": "408-374-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR",
            "address_2": "SUITE 121",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321549",
            "telephone_number": "408-374-4370",
            "fax_number": "408-374-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW D. MINGRONE, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINGRONE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-374-4370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "A67205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Massey, MD
• Christine Diego Matias, LVN
• Robin Kabigting Matias, D.O.
• Judy Li Matsucka-Sarina, OT
• Kelly Kathleen Matsuura, PHARMD
• Rita L. Matthews
• Maureen O. Khoo, MD, Inc.
• Kathy Maurer, MD
• David Louis Keane Mauro, OTR/L
• Linda Mavity, N.P.

• Plastic Surgery Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.