DR. MATHEW LAWRENCE FRUZZA (NPI# 1114157203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114157203 |
| Entity Type | Individual |
| Full Name | DR. MATHEW LAWRENCE FRUZZA |
| Credential | D.O. |
| Practice Address |
2081 Bronze Star Dr Woodland CA 95776-5423 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 5306682600 |
| Practice Fax Number | 5306611063 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2016-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20A10870 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2081 BRONZE STAR DR |
| City | WOODLAND |
| State | CA |
| Zip Code | 95776-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629428 | Kristin Diane Rickelman | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2005-09-14 |
| 1821574625 | Editha C Setiawan | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2018-07-14 |
| 1801380803 | Gurpreet Kaur Malhi | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2018-06-21 |
| 1497283212 | Hillary Williams | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2017-05-24 |
| 1073046124 | Adriana Santana | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2017-04-05 |
| 1033661897 | Ofili Okolonwamu | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2016-10-27 |
| 1639550122 | My Dungthi Pham | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2015-06-10 |
| 1376958173 | Janet A Hill | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2014-07-01 |
| 1144632951 | Behnam Vahdati Nia | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2014-05-28 |
| 1750792149 | Iris M Villanueva | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2014-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265736102 | Kristin Mae Davey | Physical Therapist | 1423 Roosevelt Drive, Woodland, CA 95776 | 2011-01-07 |
| 1669784484 | Suzan Jane Motooka | Licensed Vocational Nurse | 991 Hoppin Ct, Woodland, CA 95776 | 2010-07-09 |
| 1104157478 | Gill and Ghazal Dental Corporation | Dentist | 2041 Bronze Star Drive Suite 100, Woodland, CA 95776 | 2010-01-26 |
| 1962640284 | Amber Christine Mitchell | Behavioral Analyst | 2100 5th St., Davis, CA 95776 | 2009-01-23 |
| 1730348764 | Woodland Residential Services | Nursing Facility/Intermediate Care Facility | 40145 Best Ranch Road, Woodland, CA 95776 | 2008-06-05 |
| 1376716845 | Steven William Thomson | Dentist | 825 East St #121, Woodland, CA 95776 | 2008-04-07 |
| 1902081714 | Costco Wholesale Corporation | Pharmacy | 2299 Bronze Star Dr, Woodland, CA 95776 | 2007-12-31 |
| 1609095322 | Woodland Hearing Aid Services Inc | Specialist | 1837 E Gibson Rd Suite K, Woodland, CA 95776 | 2007-04-24 |
| 1114099157 | Kali Javon Leonard | Optometrist | 421 B Pioneer Ave, Woodland, CA 95776 | 2006-11-14 |
| 1609271485 | Victoria Leigh Aphailee | Registered Nurse | 1975 Maxwell Ave, Apt# C114, Woodland, CA 95776 | 2014-10-23 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700959582 | Constance Jeanne Caldwell | Pediatrics | 137 N Cottonwood, Woodland, CA 95695 | 2006-11-17 |
| 1437569175 | Brian Van Nguyen | Pediatrics | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2014-05-03 |
| 1588924641 | Alanna Dorothy Bares | Pediatrics | 215 W Beamer St, Woodland, CA 95695-2510 | 2012-05-23 |
| 1790042554 | Sarah A Favila | Pediatrics | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2012-04-18 |
| 1366718512 | Samuel Max Siegel | Pediatrics | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2012-03-31 |
| 1477799989 | Sheetal Deep Sran | Pediatrics | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2009-01-05 |
| 1851492268 | Khuram Arif | Pediatrics | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2006-09-26 |
| 1518987387 | Karen R Gill | Pediatrics | 632 W Gibson Rd, Woodland, CA 95695 | 2006-07-21 |
| 1255352944 | Patricia A Mcneill | Pediatrics | 632 W Gibson Rd, Woodland, CA 95695 | 2006-07-21 |
| 1154356723 | Sajiv Saxena | Pediatrics | 632 W Gibson Rd, Woodland, CA 95695 | 2006-07-12 |
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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.