Individual provider Active NPI

Binoj Joseph Matthew, M.D., MHA

  • Occupational Medicine Clinic/Center
  • Sacramento, CA
National Provider Identifier
1922441187
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
A138022 Issued in CA
Practice address
4700 Northgate Blvd Ste 100
Sacramento, CA 95834-1149
Phone
(916) 929-6161
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X A138022 CA Primary

Addresses

Primary practice location

4700 Northgate Blvd Ste 100
Sacramento, CA 95834-1149

Mailing address

645 E Champlain Dr Apt 131
Fresno, CA 93730-1294
Phone (559) 355-0590

Other practice location 1

645 E Champlain Dr Apt 131
Fresno, CA 93730-1294
Phone (559) 355-0590

Other practice location 2

155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 499-6581

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A138022CAMDOccupational Medicine Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922441187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E CHAMPLAIN DR APT 131",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937301294",
            "telephone_number": "559-355-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 NORTHGATE BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341149",
            "telephone_number": "916-929-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 E Champlain Dr Apt 131",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937301294",
            "country_code": "US",
            "telephone_number": "559-355-0590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012302",
            "country_code": "US",
            "telephone_number": "559-499-6581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "BINOJ",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D., MHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": "A138022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.