Active NPI
Matthew Joseph Vinson, DC
- Chiropractor
- Fresno, CA
National Provider Identifier
1710902259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC296570
- Practice address
- 6789 N Willow Ave Ste 101
Fresno, CA 93710-5959 - Phone
- (559) 298-6325
- Fax
- (559) 298-6322
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC296570 | CA | Primary |
Addresses
Primary practice location
6789 N Willow Ave Ste 101
Fresno, CA 93710-5959
Mailing address
6789 N Willow Ave Ste 101
Fresno, CA 93710-5959
Phone (559) 298-6325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050429001000 | CA | Practitioner - Chiropractic | 7012956865 | Practice locations: Fresno, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6789 N Willow Ave
Suite 101
Fresno, CA 93710-5959
Phone (559) 298-6325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC296570 | CA | MD | Chiropractor |
| 29657 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sergio Balli Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
| Preferred Chiropractic Center | Chiropractor | Past | Accepting new patients |
| Matthew Vinson Chiropractic a Professional Corporation | Chiropractor | Past | Accepting new patients |
Locations
6789 N Willow Ave
Ste 101
Fresno, CA 93710
Phone (559) 298-6325
Organizations & group practices 3
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.
-
- Chiropractor
- Clovis, CA
- NPI 1285070656
-
- Chiropractor
- Fresno, CA
- NPI 1538734298
-
- Chiropractor
- Fresno, CA
- NPI 1568774180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1710902259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6789 N WILLOW AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105959",
"telephone_number": "559-298-6325",
"fax_number": "559-298-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6789 N WILLOW AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105959",
"telephone_number": "559-298-6325",
"fax_number": "559-298-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "MATTHEW",
"middle_name": "JOSEPH",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC296570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.