Organization Active NPI

Matthewson Orthopedics Inc

  • Orthopaedic Surgery Physician
  • Corona, CA
National Provider Identifier
1639928898
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MATTHEWSON ORTHOPEDICS INC
Practice address
800 Magnolia Ave Ste 102
Corona, CA 92879-3123
Phone
(415) 971-3969
Fax
(951) 582-2300
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Dr. Graeme Matthewson, MDNPI 1518578772
Title
Director
Phone
(415) 971-3969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

800 Magnolia Ave Ste 102
Corona, CA 92879-3123

Mailing address

8549 Wilshire Blvd Ste 5193
Beverly Hills, CA 90211-3104
Phone (415) 971-3969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001004128 CA Part B Supplier - Clinic/Group Practice 3577094580 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

800 Magnolia Ave
Ste 102
Corona, CA 92879
Phone (657) 235-9355

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1639928898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8549 WILSHIRE BLVD STE 5193",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113104",
            "telephone_number": "415-971-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAGNOLIA AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793123",
            "telephone_number": "415-971-3969",
            "fax_number": "951-582-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWSON ORTHOPEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "MATTHEWSON",
        "authorized_official_first_name": "GRAEME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-971-3969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.