Edwin W. Mattson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G80728 Issued in CA

Practice address

1236 N. Magnolia Ave.
Anaheim, CA 92801-2607

Phone

(714) 995-1000

Fax

(714) 828-7926

NPI assigned

Jul 1, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Davita Medical Group Talbert California, P.C.

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1477554012

  Internal Medicine

  NPD (past)
• Talbert Medical Group, P.C.

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1528069176
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1770580920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 N. MAGNOLIA AVE.",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 N. MAGNOLIA AVE.",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012607",
            "telephone_number": "714-995-1000",
            "fax_number": "714-828-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "EDWIN",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00G807280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanyia Matthews
• Vera M Matthews, LCSW
• Kenton Howell Mattox
• Gail F. Mattson-Gates, MD
• Barbara A Mattson
• Alexis Mauga
• Maureen Elizabeth Li Medical Corporation
• David C Max, PA
• Grace Elizabeth May, MA SLP
• Terence M. Mayers, MD

• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.