MATTHEW O'CONNOR (NPI# 1063870376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063870376 |
| Entity Type | Individual |
| Full Name | MATTHEW O'CONNOR |
| Practice Address |
3417 Front St San Diego CA 92103-4813 |
| Practice Telephone | 3144989227 |
| Mailing Telephone | 3144989227 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
659650 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699038919 | Matthew J O'connor Sr. | Chore Provider | 404 Birchwood Rd, Medford, NY 11763-1232 | 2012-06-21 |
| 1124642079 | Matthew O'connor | Physical Therapist | 4195 Westberg Rd, Hermantown, MN 55811-2962 | 2020-06-05 |
| 1922657543 | Matthew O'connor | Physical Therapist | 63 Pleasant St, Watertown, MA 02472-2386 | 2019-09-06 |
| 1609386689 | Matthew O'connor | Counselor | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2017-10-04 |
| 1982051066 | Matthew O'connor | Pharmacist | 90 Center Rd, Essex Junction, VT 05452-2658 | 2016-05-19 |
| 1306236013 | Matthew O'connor | Emergency Medicine | Uw Hospitals and Clinics, 600 University Ave, Madison, WI 53792-0001 | 2015-02-02 |
| 1942528997 | Matthew Crosby O'connor | Pediatrics | 301 Prospect Ave, Pediatrix Medical Group, Syracuse, NY 13203-1807 | 2010-05-13 |
| 1336393917 | Matthew O'connor | Physical Therapist | 45 Mallett Dr, Freeport, ME 04032-1312 | 2008-11-10 |
| 1164608147 | Matthew Alan O'connor | Nurse Anesthetist, Certified Registered | 250 Park St, Bowling Green, KY 42101-1760 | 2008-01-21 |
| 1396950978 | Matthew J O'connor | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2007-05-14 |
| Street Address |
3417 FRONT ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1225509656 | Erwin Orio Fong | Registered Nurse | 3853 Rosecran St, San Diego, CA 92110-3115 | 2018-12-11 |
| 1780139220 | Sarah Sangalang Villanueva | Registered Nurse | 1625 Chalcedony St, 205, San Diego, CA 92109-3169 | 2016-08-24 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1417320599 | Brittany Moore | Registered Nurse | 4335 Hamilton St Apt 6, San Diego, CA 92104-1271 | 2015-11-11 |
| 1174992812 | Farren Kelly Joynes | Registered Nurse | 6713 Waterman Ct, San Diego, CA 92111-6033 | 2015-09-23 |
| 1922476886 | Nichole Jimmi | Registered Nurse | 1670 Kettner Blvd, Apt 122, San Diego, CA 92101-2522 | 2015-09-09 |
| 1700158672 | Vitaly Juravsky | Registered Nurse | 3853 Rosecrans Street San Diego, Ca, San Diego, CA 92110 | 2012-02-07 |
| 1285821462 | Hugh E. Moore | Registered Nurse | 2961 Edell Pl, San Diego, CA 92117-1618 | 2007-10-01 |
| Find all providers in SAN DIEGO | ||||
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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.