Carolyn a Matzinger MD a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C50852 Issued in CA

Legal business name

CAROLYN A MATZINGER MD A PROFESSIONAL CORPORATION

Practice address

1800 Spring Ridge Dr
Susanville, CA 96130-6100

Phone

(530) 252-2000

NPI assigned

May 27, 2009

Last updated

May 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn A Matzinger, MDNPI 1447252911

Title

Physician

Phone

(702) 380-1974

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn Anne Matzinger, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1447252911
  Authorized official Same address or phone

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1639304116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 SOUTHERN HIGHLANDS PKWY",
            "address_2": "SUITE 110-419",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414371",
            "telephone_number": "702-380-1974",
            "fax_number": "702-269-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SPRING RIDGE DR",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961306100",
            "telephone_number": "530-252-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN A MATZINGER MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "MATZINGER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-380-1974",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C50852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "C50852",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10187",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Dessire Cabalar
• California Em-I Medical Services, a Medical Corporation
• Orlando Alberto Caprari, B.A.
• Christina Marsa Carlton, M.D.
• Samuel Richard Carlton, MD
• Andrew Timothy Carrion
• Jeanette Lisa Carter, LMT
• CF Susanville, LLC (Lassen Nursing and Rehabilitation Center)
• Terry A Chapman, B.S.W.
• Scott Cuong Chau, D.D.S.

• Internal Medicine Physician in Susanville, CA
• Providers in Susanville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.