Organization Active NPI

Andrew J Matthews, MD

  • Plastic Surgery Physician
  • Gilroy, CA
National Provider Identifier
1811027360
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G86007 Issued in CA
Legal business name
ANDREW J MATTHEWS, MD
Practice address
7880 Wren Ave
Suite# F-161
Gilroy, CA 95020-4943
Phone
(408) 848-0222
Fax
(408) 848-0220
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Andrew J MatthewsNPI 1336259779
Title
Owner
Phone
(408) 848-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X G86007 CA Primary

Addresses

Primary practice location

7880 Wren Ave
Suite# F-161
Gilroy, CA 95020-4943

Mailing address

7880 Wren Ave
Suite# F-161
Gilroy, CA 95020-4943
Phone (408) 848-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008001332 CA Part B Supplier - Clinic/Group Practice 3870552375 Receives reassigned benefits from 1 practitioner
Practice locations: Gilroy, CA

National Provider Directory

National Provider Directory

Locations

7880 Wren Ave
Ste F161
Gilroy, CA 95020
Phone (408) 846-4550

7880 Wren Ave
Ste F163
Gilroy, CA 95020
Phone (408) 445-8400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1811027360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "SUITE# F-161",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "408-848-0222",
            "fax_number": "408-848-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "SUITE# F-161",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "408-848-0222",
            "fax_number": "408-848-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J MATTHEWS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-848-0222"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G86007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.