Active NPI
Adventist Family Medicine Residency Tulare
- Family Medicine Physician
- Tulare, CA
National Provider Identifier
1679223663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVENTIST FAMILY MEDICINE RESIDENCY TULARE
- Practice address
- 2059 Hillman St
Tulare, CA 93274-1609 - Phone
- (559) 605-0090
- NPI assigned
- Mar 24, 2022
- Last updated
- Mar 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick A Matian, DO
- Title
- Resident Physician
- Phone
- (408) 332-9879
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2059 Hillman St
Tulare, CA 93274-1609
Mailing address
2059 Hillman St
Tulare, CA 93274-1609
National Provider Directory
National Provider DirectoryLocations
2059 Hillman St
Tulare, CA 93274
Phone (559) 605-0090
Practitioners & affiliated clinicians
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.
-
- Sports Medicine (Family Medicine) Physician
- Fresno, CA
- NPI 1821726548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648512000000",
"number": "1679223663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2059 HILLMAN ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932741609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2059 HILLMAN ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932741609",
"telephone_number": "559-605-0090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST FAMILY MEDICINE RESIDENCY TULARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-24",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A",
"authorized_official_last_name": "MATIAN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "RESIDENT PHYSICIAN",
"authorized_official_telephone_number": "408-332-9879",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulare, CA
- Dominique Antonia Acevedo
- Yvette Aceves-Silva
- Jennifer Sousa Aceves, AMFT
- Valeria Aceves
- William F Adkins, O.D.
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Tulare (Tulare Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.