DR. MATTHEW JOSEPH ZILS (NPI# 1164658324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164658324 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOSEPH ZILS |
| Credential | PSY.D. |
| Practice Address |
2001 Junipero Serra Blvd Ste 650 Kaiser Permanente Ssf, Dept. of Psychiatry Daly City CA 94014-3897 |
| Practice Telephone | 6509916147 |
| Mailing Telephone | 6509916147 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2013-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY22693 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2001 JUNIPERO SERRA BLVD STE 650 KAISER PERMANENTE SSF, DEPT. OF PSYCHIATRY |
| City | DALY CITY |
| State | CA |
| Zip Code | 94014-3897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932246998 | Adrienne K. Addicott | Psychologist | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2007-01-31 |
| 1932767704 | Melissa Pumper | Psychologist | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2019-06-05 |
| 1427524149 | David Andrew Scheid | Social Worker | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2018-10-19 |
| 1528429784 | Alexandra Davidson | Psychologist | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2016-03-16 |
| 1457764110 | Philip Quach | Psychiatry & Neurology | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2014-06-10 |
| 1265852172 | Eric Edelson | Psychologist | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2014-04-17 |
| 1366718884 | Jenna Ariel King | Counselor | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2012-03-29 |
| 1710267778 | Michael Tang | Psychiatry & Neurology | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2011-08-23 |
| 1609196310 | Aaron Trinh | Psychologist | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014 | 2010-06-03 |
| 1518125624 | Dana Ioana Rosca | Psychiatry & Neurology | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2008-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644073 | Abl Health Care, LLC | Registered Nurse | 6150 Mission Street, #103, Daly City, CA 94014 | 2017-08-11 |
| 1285972422 | My Tu Duong Pang | Dietitian, Registered | 2001 Junipero Serra Blvd Ste 100, Daly City, CA 94014 | 2013-01-23 |
| 1821341934 | Meta Indrajanti Darmawan | Dentist | 6273 Mission St #200, Daly City, CA 94014 | 2012-10-26 |
| 1174828792 | Yahaira Cruz Ortega | Counselor | 9 Cypress Ct, Daly City, CA 94014 | 2011-01-12 |
| 1548574189 | Sas Global LLC | Non-emergency Medical Transport (VAN) | 66 San Pedro Road, Suite C2, Daly City, CA 94014 | 2010-08-05 |
| 1083943955 | Dorie Paniza | Physical Therapist | 171a School St., Daly City, CA 94014 | 2009-12-23 |
| 1700074853 | Gaurav Abbi | Orthopaedic Surgery | 2171 Junipero Serra Blvd Ste 388, Daly City, CA 94014 | 2007-10-12 |
| 1619176252 | Gracia Cua | Dentist | 2171 Junipero Serra Blvd, Suite 110, Daly City, CA 94014 | 2007-07-13 |
| 1740489624 | Kelvin Tan | Dentist | 220 First Ave, Daly City, CA 94014 | 2007-07-12 |
| 1952446098 | Suzette M. Villanueva | Dentist | 7621 El Camino Real, Colma, CA 94014 | 2007-02-20 |
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| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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| 1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
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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.