DR. MATTHEW J. PERL (NPI# 1013019678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013019678 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW J. PERL |
| Credential | M.D. |
| Practice Address |
15004 Innovation Dr San Diego CA 92128-3491 |
| Mailing Address |
10790 Rancho Bernardo Rd San Diego CA 92127-5705 |
| Practice Telephone | 8586057171 |
| Mailing Telephone | 8586057171 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G58726 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G587260 | 05 |
| Street Address |
15004 INNOVATION DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851376222 | Scripps Clinic Medical Group | Clinic/Center | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2005-12-08 |
| 1023642097 | Amy Joelle Chamberlain | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-27 |
| 1790318715 | Cameron Devany | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-18 |
| 1851924252 | Janelle Marie Wilson | Physical Therapy Assistant | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-14 |
| 1285267617 | Mitchell Russo | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1427681873 | Lucy Santillan | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1740813112 | Monique Munro Werner | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1003449422 | Margaret Ann Fuller | Occupational Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1023641586 | Katie Jo Rodgers | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-12 |
| 1649802166 | Irina Keefer | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962947317 | Mark Olcott, M.d., Inc. | Emergency Medicine | 3609 Lotus Dr, San Diego, CA 92106-1136 | 2016-12-21 |
| 1578941019 | Trisha Morshed | Emergency Medicine | 200 W Arbor Dr Mc867, San Diego, CA 92103 | 2015-05-18 |
| 1770995789 | Lindsey Ball | Emergency Medicine | 4647 Zion Ave Ste 1116, San Diego, CA 92120-2507 | 2014-05-24 |
| 1679910558 | Jeffrey Steven Kurz | Emergency Medicine | 3545 Reynard Way, San Diego, CA 92103-3808 | 2013-05-31 |
| 1265876981 | Alexis Lenz | Emergency Medicine | Ucsd 200 W Arbor Dr, Mc8676, San Diego, CA 92103 | 2013-04-24 |
| 1376881078 | Diane Kopeika Gottschalk | Emergency Medicine | 10221 Wateridge Cir, San Diego, CA 92121-2702 | 2013-01-30 |
| 1598000507 | Julie Watkins-torry | Emergency Medicine | 200 W Arbor Dr # Mc8819, San Diego, CA 92103-1911 | 2012-12-02 |
| 1417212739 | Rodney Sidransky | Emergency Medicine | 7841 Balboa Ave, Suite 202, San Diego, CA 92111-2311 | 2012-07-12 |
| 1598044117 | Charlotte Anne Sadler | Emergency Medicine | 200 W Arbor Dr # 8925, San Diego, CA 92103-1911 | 2011-08-12 |
| 1003103235 | Sarah Wilkinson | Emergency Medicine | 200 W Arbor Dr # 8819, San Diego, CA 92103-1911 | 2011-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.