Matthew Guy Garibaldi, MS, CPO

Key facts

NPI

1720548936

Entity type

Individual (NPI type 1)

Primary specialty

Prosthetist 224P00000X

Practice address

1500 Owens St Ste 115
San Francisco, CA 94158-2338

Phone

(415) 476-1788

Fax

(415) 476-7003

NPI assigned

Mar 22, 2019

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• UCSF Medical Group Business Services Health Service Clinic/Center · San Francisco, CA · NPI 1194115246
  NPD (past) ORTHOTIST
• University of California San Francisco Medical Center General Acute Care Hospital · San Francisco, CA · NPI 1144325440
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 22, 2019.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1720548936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OWENS ST STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582338",
            "telephone_number": "415-476-1788",
            "fax_number": "415-476-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OWENS ST STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582338",
            "telephone_number": "415-476-1788",
            "fax_number": "415-476-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Parnassus Ave # A096",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432202",
            "country_code": "US",
            "telephone_number": "415-476-1788",
            "fax_number": "415-476-7003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 4th St # M5304",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432350",
            "country_code": "US",
            "telephone_number": "415-476-1788",
            "fax_number": "415-476-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARIBALDI",
        "first_name": "MATTHEW",
        "middle_name": "GUY",
        "name_prefix": "Mr.",
        "credential": "MS, CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS, INC.",
            "identifier": "1973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sachin Kumar Garg, MD
• Sonia Garg, M.D.
• Nina I Garga, M.D.
• James Garibaldi, D.D.S.
• Jessica Garibaldi, PSY.D.
• Priyanka Garigipati, MD
• Archie Garino, AGACNP-BC
• Christina Garland
• Melba L. Garland
• Garley Leon O D Professional Optometry Corporation

All providers in San Francisco, CA · Prosthetist in California