Matthew Adam Nowlis, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A66973 Issued in CA

Practice address

2000 Vale Rd
San Pablo, CA 94806-3808

Phone

(510) 970-5140

NPI assigned

Jul 21, 2006

Last updated

Oct 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

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 2

Specialty

Emergency Medicine

Education

Eastern Virginia Medical School, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ignite Emergency Physicians a Medical CorporationGroup PAC ID 2365988326, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desert Valley Hospital Hospital, Victorville, CA, CCN 050709

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnowlis77879@enloedirect.org

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.

• Ignite Emergency Physicians a Medical Corporation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Victorville, CA
  • NPI 1437918307
  Medicare reassignment Care Compare group NPD
• Chico Emergency Physicians Medical Group, Inc

  • Emergency Medicine Physician
  • Chico, CA
  • NPI 1578598058
  Medicare reassignment NPD
• Sierra ER Department Physicians Medical Group Inc.

  • Emergency Medicine Physician
  • Susanville, CA
  • NPI 1033570247
  Medicare reassignment NPD
• Team Physicians of Nevada-Scherr, P.C.

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1073942116

  NV

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Desert Valley Hospital, LLC

  dba Desert Valley Hospital

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1851396576
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1447270376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "SUITE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600",
            "fax_number": "510-879-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VALE RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063808",
            "telephone_number": "510-970-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLIS",
        "first_name": "MATTHEW",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A66973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A669730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Verdia Nix
• Cherise B Nketiah
• Maureen Nwanyibuife Nnoka
• Anna Katarina Nordensjo, M.D.
• Forest Novak
• Angelica Nuno
• Ny Learning Center
• Christi Lynne Ober, MD
• Rose Ochieng, M.D
• Oshmin Oden, ASW

• Emergency Medicine Physician in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.