Gulalai Matin

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43199 Issued in CA

Practice address

4645 Frazee Rd
Oceanside, CA 92057-6152

Phone

(760) 722-0137

Fax

(760) 722-2696

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Gulalai Matin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• G. Matin D.D.S Inc.

  • Dentist
  • Sun City, CA
  • NPI 1275947343
  NPD (past) Authorized official
• Gulalai Matin D.D.S Inc

  • Dentist
  • Oceanside, CA
  • NPI 1831503689
  NPD (past) Authorized official

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457543472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 FRAZEE RD STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576152",
            "telephone_number": "760-722-0137",
            "fax_number": "760-722-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 FRAZEE RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576152",
            "telephone_number": "760-722-0137",
            "fax_number": "760-722-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28115 Bradley Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "CA",
            "postal_code": "925862239",
            "country_code": "US",
            "telephone_number": "951-723-1188",
            "fax_number": "951-723-1198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIN",
        "first_name": "GULALAI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43199",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GULALAI",
            "last_name": "MATIN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaron Michael Mastroianni
• Madalina Masyuk, RPH
• Amy Haruko Matayoshi, M.D.
• Marie Mateo, CNM
• Robert Irvin Mathes
• Malia Matteo, ATC
• Karen Becerra Matthews-Penagos, DDS
• Patricia Matthews, RD
• Kenna Marva Mauhili, PSY.D.
• Gloria Maupin, MD

• All providers in Oceanside, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.