Gregory Mattson, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G32164 Issued in CA

Practice address

210 Coast Blvd
La Jolla, CA 92037-4609

Phone

(858) 454-6141

Fax

(858) 454-2310

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Emergency Medicine

Education

University of California, San Diego School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Greg Mattson MD Inc

  • Family Medicine Physician
  • La Jolla, CA
  • NPI 1669746897
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1922155282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COAST BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374609",
            "telephone_number": "858-454-6141",
            "fax_number": "858-454-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COAST BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374609",
            "telephone_number": "858-454-6141",
            "fax_number": "858-454-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "GREGORY",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G32164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Mattera, NP
• Amanda Matthe
• Matthew M. Schultzel, DO, an Osteopathic Medical Corporation
• Matthew W Gentile OD a Professional Optometric Corporation
• Taylor Mattioli, PA-C
• Gayane Matusov, M.D.
• Wendi Maurer, PH.D.
• Maurice Buchbinder MD a Professional Corporation
• Jana Mauricio-Lee
• Brent Mausbach, PHD

• Family Medicine Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.