Active NPI
Mathew Isho, M.D., P.C.
- Surgery Physician
- San Diego, CA
National Provider Identifier
1982876645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A93470
- Legal business name
- MATHEW ISHO, M.D., P.C.
- Practice address
- 550 Washington St
Suite 821
San Diego, CA 92103-2213 - Phone
- (619) 686-4011
- Fax
- (619) 686-4041
- NPI assigned
- Apr 2, 2008
- Last updated
- Apr 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mathew Isho, M.D.
- Title
- President
- Phone
- (619) 686-4011
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A93470 | CA | Primary |
Addresses
Primary practice location
550 Washington St
Suite 821
San Diego, CA 92103-2213
Mailing address
550 Washington St
Suite 821
San Diego, CA 92103-2213
Phone (619) 686-4011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
550 Washington St
Ste 101
San Diego, CA 92103
Phone (619) 686-3430
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Colon & Rectal Surgery Physician
- San Diego, CA
- NPI 1841235645
-
- Colon & Rectal Surgery Physician
- San Diego, CA
- NPI 1134112626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207094400000",
"number": "1982876645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 WASHINGTON ST",
"address_2": "SUITE 821",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032213",
"telephone_number": "619-686-4011",
"fax_number": "619-686-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WASHINGTON ST",
"address_2": "SUITE 821",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032213",
"telephone_number": "619-686-4011",
"fax_number": "619-686-4041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATHEW ISHO, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A",
"authorized_official_last_name": "ISHO",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-686-4011",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A93470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.