Active NPI
Matthew Tamplen, M.D.
- Otolaryngology Physician
- Orinda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 64664
- Practice address
- 77 Moraga Way Ste G
Orinda, CA 94563-3019 - Phone
- (925) 444-0824
- NPI assigned
- Oct 9, 2012
- Last updated
- Nov 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME130782 | FL | |
| Otolaryngology Physician | 207Y00000X | 64664 | AZ | Primary |
| Facial Plastic Surgery Physician | 207YS0123X | 64664 | AZ |
Addresses
Primary practice location
77 Moraga Way Ste G
Orinda, CA 94563-3019
Mailing address
4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone (602) 264-4834
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021413300 | Medicaid | FL | |
| YD6TC | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME130782 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Arizona Otolaryngology Consultants, PC | Current | Accepting new patients | |
| Permanente Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Sigma Ear Nose & Throat | Otolaryngology | Current | Accepting new patients |
| Romeo C. Agbayani Jr MD a Professional Medical Corporation | Past | Accepting new patients |
Locations
5750 W Thunderbird Rd
Ste A100
Glendale, AZ 85306
Phone (602) 938-3205
4530 E Shea Blvd
Ste 180
Phoenix, AZ 85028
Phone (602) 264-4834
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
3600 Broadway
Oakland, CA 94611
Phone (510) 752-6238
77 Moraga Way
Ste G
Orinda, CA 94563
Phone (833) 880-7433
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1700 San Pablo Ave
Ste F
Pinole, CA 94564
Phone (510) 483-3565
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Orthopaedic Surgery
-
- Specialist
- Phoenix, AZ
- NPI 1679538441
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1841373800
Orthopaedic Surgery
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
dba Marin ENT
- Otolaryngology/Facial Plastic Surgery Physician
- Greenbrae, CA
- NPI 1700477155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1801148242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E SHEA BLVD STE 180",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286042",
"telephone_number": "602-264-4834",
"fax_number": "602-254-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MORAGA WAY STE G",
"city": "ORINDA",
"state": "CA",
"postal_code": "945633019",
"telephone_number": "925-444-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMPLEN",
"first_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-09",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME130782",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "64664",
"primary": true
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "AZ",
"license": "64664",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021413300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "YD6TC",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orinda, CA
- Hank Haw Sun, MD
- Sutter Bay Medical Foundation (Sutter East Bay Medical Foundation)
- Sutter East Bay Medical Foundation
- Erika Noelle Swanson I, PHD
- Lloyd Heisaburo Takao, M.D.
- Shoshana Taubman, PSY.D.
- Cecelia Thomas, D.D.S.
- Laro Virginia Thompson, PH.D
- Lisa Thompson, LCSW
- Thrifty Payless Inc (Rite Aid Pharmacy 05933)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.