Active NPI
Edward M. Matsuishi, D.D.S.
- Pediatric Dentistry
- El Cerrito, CA
National Provider Identifier
1477585271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 19514
- Practice address
- 7001 Stockton Ave Ste 3
El Cerrito, CA 94530-2961 - Phone
- (510) 524-4633
- Fax
- (510) 524-4678
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 19514 | CA | Primary |
Addresses
Primary practice location
7001 Stockton Ave Ste 3
El Cerrito, CA 94530-2961
Mailing address
7001 Stockton Avenue #3
El Cerrito, CA 94530
Phone (510) 524-4633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19514 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477585271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 STOCKTON AVENUE #3",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "94530",
"telephone_number": "510-524-4633",
"fax_number": "510-524-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 STOCKTON AVE STE 3",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945302961",
"telephone_number": "510-524-4633",
"fax_number": "510-524-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUISHI",
"first_name": "EDWARD",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "19514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.