Matthew Neil Van Dam, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

20A17126 Issued in CA

Practice address

60 MDG/SGCJ
101 Bodin Cir
Travis Afb, CA 94535-1800

Phone

(707) 423-3977

NPI assigned

Feb 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Arizona College of Osteopathic Medicine Mid Western University, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sacsolano Anesthesia Exchange Medical Group, IncGroup PAC ID 9537382882, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
• Northbay Medical Center Hospital, Fairfield, CA, CCN 050367

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Sacsolano Anesthesia Exchange Medical Group, Inc

  • Anesthesiology Physician
  • Sacramento, CA
  • NPI 1720401284
  Medicare reassignment Care Compare group NPD
• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927

  Anesthesiology

  NPD
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Care Compare affiliation
• St. Helena Hospital

  • General Acute Care Hospital
  • Saint Helena, CA
  • NPI 1720078082
  Care Compare affiliation

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1689065666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MDG/SGCJ",
            "address_2": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MDG/SGCJ",
            "address_2": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351800",
            "telephone_number": "707-423-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAM",
        "first_name": "MATTHEW",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A17126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Alexander Tuscano, DO
• Ian Sterling Tuznik, M.D.
• United States Air Force
• Anita S Upp, CRNA
• Haleh Vakili, PHARM D
• Norma Jean Van Volkinburg, PSYCHOLOGIST
• Amanda Vance
• Wyatt Daniel Vander Voort, MD
• Jacob Vanorman, MD
• Jesse Vargas, IDMT

• Anesthesiology Physician in Travis Afb, CA
• Providers in Travis Afb, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.