Organization Active NPI

Matthew Sloan, M.D. a Medical Corporation

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1740474428
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C29134 Issued in CA
Legal business name
MATTHEW SLOAN, M.D. A MEDICAL CORPORATION
Practice address
2650 Elm Ave
108
Long Beach, CA 90806-1651
Phone
(562) 427-5409
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Matthew Sloan, M.D.
Title
President
Phone
(562) 427-5409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X C29134 CA Primary

Addresses

Primary practice location

2650 Elm Ave
108
Long Beach, CA 90806-1651

Mailing address

2650 Elm Ave
108
Long Beach, CA 90806-1651
Phone (562) 427-5409

Other identifiers 1

IdentifierTypeStateIssuer
00C291340MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1740474428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 ELM AVE",
            "address_2": "108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061651",
            "telephone_number": "562-427-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 ELM AVE",
            "address_2": "108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061651",
            "telephone_number": "562-427-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW SLOAN, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-427-5409",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C29134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C291340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.