Joseph Anthony Matan M.D. a Professional Corporation.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

00G119520 Issued in CA

Legal business name

JOSEPH ANTHONY MATAN M.D. A PROFESSIONAL CORPORATION.

Practice address

1700 San Pablo Ave
Suite a
Pinole, CA 94564-2081

Phone

(510) 724-4300

Fax

(510) 964-0607

NPI assigned

Feb 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Anthony Matan, M.D.

Title

President

Phone

(510) 724-4300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1740429216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SAN PABLO AVE",
            "address_2": "SUITE A",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642081",
            "telephone_number": "510-724-4300",
            "fax_number": "510-964-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SAN PABLO AVE",
            "address_2": "SUITE A",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642081",
            "telephone_number": "510-724-4300",
            "fax_number": "510-964-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH ANTHONY MATAN M.D. A PROFESSIONAL CORPORATION.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "MATAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-724-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "00G119520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G119520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Pinole, CA
• Providers in Pinole, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.