DR. MATTHEW PETER VANCE (NPI# 1336316652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336316652 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW PETER VANCE |
| Credential | MD |
| Practice Address |
10243 Genetic Center Dr San Diego CA 92121-6310 |
| Practice Telephone | 8585266140 |
| Practice Fax Number | 8585266076 |
| Mailing Telephone | 8585266140 |
| Mailing Fax Number | 8585266076 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2013-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
233568 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770823015 | Matthew P Vance | Pharmacist | 1302 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 | 2013-02-24 |
| 1972504249 | Matthew B Vance | Anesthesiology | 1924 Alcoa Hwy, Box U109, Knoxville, TN 37920-1511 | 2005-08-09 |
| Street Address |
10243 GENETIC CENTER DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240967 | Eric R Lovell | Emergency Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2005-07-26 |
| 1811551930 | Samantha Timanus | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2019-04-24 |
| 1689169062 | Ylan Ton | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2018-06-27 |
| 1861908386 | Ashley Jennifer Ennedy | Preventive Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-12-19 |
| 1265979744 | Hossein Manavizadeh | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-01-23 |
| 1821533985 | Jessica Llamas | Specialist/Technologist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-12-28 |
| 1770946543 | Jill M. Lundstrom | Pediatrics | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-30 |
| 1447610571 | Christina N Nakashima | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-02 |
| 1033578661 | Patricia Polikoff | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-02-10 |
| 1265859524 | Angela Sung | Psychiatry & Neurology | 10243 Genetic Center Dr, San Diego, CA 92121 | 2014-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
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| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720219389 | Pediatric Orthopedic and Scoliosis Center of San Diego, Inc. | Orthopaedic Surgery | 3030 Childrens Way, Suite 410, San Diego, CA 92123-4232 | 2009-07-30 |
| 1053470591 | Lisa S Miller | Orthopaedic Surgery | 8010 Frost St, Suite 406, San Diego, CA 92123 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154676559 | Michael Stuart Gurvey | Orthopaedic Surgery | 2390 Crombie Ct, Thousand Oaks, CA 91361-5322 | 2012-07-21 |
| 1447573779 | Darvin Charles Foo | Orthopaedic Surgery | 2425 Stockton Blvd Fl 7, Sacramento, CA 95817-2215 | 2010-03-01 |
| 1770793853 | Munir M Uwaydah | Orthopaedic Surgery | 211 S Maclay Ave, San Fernando, CA 91340-3603 | 2007-05-23 |
| 1689894057 | Lawrence Stephen Guinney | Orthopaedic Surgery | 4730 Hoen Ave, Santa Rosa, CA 95405-7868 | 2007-04-26 |
| 1275752602 | Richard Ros Ross Riddell | Orthopaedic Surgery | 20 N Vista De Catalina, Laguna Beach, CA 92651-6755 | 2007-04-24 |
| 1487700738 | James Gibson Gamble | Orthopaedic Surgery | 800 Welch Rd, Suite 212, Palo Alto, CA 94304-1607 | 2007-01-26 |
| 1801962360 | William Oppenheim | Orthopaedic Surgery | 10945 Le Conte Avenue, Rm 3355 Ubberoth Bldg Department of Orthopaedic Surgery, Los Angeles, CA 90095-6902 | 2006-11-27 |
| 1114005352 | Alpine Orthopaedic Medical Group Inc | Orthopaedic Surgery | 2488 N. California St, Stockton, CA 95204-5508 | 2006-11-02 |
| 1528179793 | Regents of The University of California | Orthopaedic Surgery | 100 Medical Plaza Suite 755, Los Angeles, CA 90095-0001 | 2006-08-31 |
| 1215948740 | Leah M Pike | Orthopaedic Surgery | 3742 Katella Ave, 303, Los Alamitos, CA 90720-3102 | 2006-08-10 |
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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.