NPIMap

Organization Active NPI

Harry B Matossian, M.D.

  • Ambulatory Surgical Clinic/Center
  • Ukiah, CA
National Provider Identifier
1851682850
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HARRY B MATOSSIAN, M.D.
Practice address
234 Hospital Dr
Ukiah, CA 95482-4560
Phone
(707) 462-0681
NPI assigned
Apr 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Shantil Ferguson
Title
Financial/Billing Manager
Phone
(707) 462-0681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

234 Hospital Dr
Ukiah, CA 95482-4560

Mailing address

234 Hospital Dr
Ukiah, CA 95482-4560

National Provider Directory

National Provider Directory

Locations

234 Hospital Dr
Ste A
Ukiah, CA 95482
Phone (707) 462-0681

245 Hospital Dr
#100
Ukiah, CA 95482
Phone (707) 462-4905

234 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-0681

234 Hospital Dr
Ste B
Ukiah, CA 95482
Phone (707) 462-0681

Practitioners & affiliated clinicians

Practitioners 3

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": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1851682850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824560",
            "telephone_number": "707-462-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY B MATOSSIAN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "SHANTIL",
        "authorized_official_title_or_position": "FINANCIAL/BILLING MANAGER",
        "authorized_official_telephone_number": "707-462-0681"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.