Individual provider Active NPI

Matthew Patterson, M.D.

  • General Practice Physician
  • Palo Alto, CA
National Provider Identifier
1811968795
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C53717 Issued in CA
Practice address
3075A Hansen Way
Palo Alto, CA 94304-1000
Phone
(650) 387-5316
Fax
(650) 842-8152
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C53717 CA Primary

Addresses

Primary practice location

3075A Hansen Way
Palo Alto, CA 94304-1000

Mailing address

3075A Hansen Way
Palo Alto, CA 94304-1000
Phone (650) 387-5316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C53717CAMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: matt.patterson.1@17371.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1811968795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075A HANSEN WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041000",
            "telephone_number": "650-387-5316",
            "fax_number": "650-842-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075A HANSEN WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041000",
            "telephone_number": "650-387-5316",
            "fax_number": "650-842-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C53717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.