Matthew Taiwo Abiola Ogbeide, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

162281 Issued in CA

Practice address

10621 Church St Ste 120
Rancho Cucamonga, CA 91730-6834

Phone

(909) 944-0486

NPI assigned

Mar 25, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

General Surgery

Education

Creighton University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Wound Care and Support ServicesGroup PAC ID 9032619101, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Integrated Wound Care and Support Services

  • General Practice Physician
  • Wilmington, CA
  • NPI 1285520296
  Medicare reassignment Care Compare group NPD
• Harbor Comprehensive Health Inc

  • General Practice Physician
  • Wilmington, CA
  • NPI 1093000606
  Medicare reassignment NPD
• Rancho Wound Care Center, PC

  dba Rancho Wound Care and Podiatry Center

  • Surgery Physician
  • Rancho Cucamonga, CA
  • NPI 1396548236
  Medicare reassignment NPD
• Wound Healing Care Specialists, Inc.

  dba Wound Healing Care Specialists California

  • Surgery Physician
  • Ontario, CA
  • NPI 1306317961
  Medicare reassignment NPD

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1437680915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 LAPWING RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034822",
            "telephone_number": "405-916-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 CHURCH ST STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306834",
            "telephone_number": "909-944-0486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 W 12th Ave Rm 680",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-293-8000",
            "fax_number": "614-293-4063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBEIDE",
        "first_name": "MATTHEW",
        "middle_name": "TAIWO ABIOLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "162281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine Herlinda Ochoa
• Richard Ochoa, RN
• Richard Odoardi
• Irene Seruya Agutu Oduor, REGISTERED NURSE
• Og Mobile Medical Group
• Mary Ogden
• Oluwatoyin Monsurat Ogunjale, DNP
• Odunayo Ogunrinu
• Sarah Masaye Ohashi
• Nina Ojeda

• Surgery Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.