DR. MATTHEW DOUGLAS DICKSON (NPI# 1457388720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457388720 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DOUGLAS DICKSON |
| Credential | D.O. |
| Practice Address |
1628 Palm Ave San Diego CA 92154-1027 |
| Mailing Address |
Po Box 660969 Arcadia CA 91066-0969 |
| Practice Telephone | 6195919999 |
| Mailing Telephone | 6264470296 |
| Mailing Fax Number | 6264476057 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4064 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 867690 | 05 | |
| AZ | XPY199940 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2400 S Avenue A, Yuma, AZ 853647127 | 9283367100 | 9283367508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750578118 | Matthew Dickson | Chiropractor | 20269 Smoky Hill Rd, Unit J, Centennial, CO 80015 | 2007-10-01 |
| 1760913131 | Matthew E Dickson | Psychologist | 1662 Village Grn, Crofton, MD 21114-2014 | 2017-03-27 |
| 1659663466 | Matthew C Dickson | Radiology | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2011-05-11 |
| 1588806749 | Matthew Dickson | Internal Medicine | 3142 Horizon Rd Ste 110, Rockwall, TX 75032-7810 | 2009-04-01 |
| 1437321502 | Matthew Price Dickson | Psychologist | 1441 E Maple Ave, Burton, MI 48529-2059 | 2008-03-29 |
| 1164621397 | Matthew Robert Dickson | Dentist | 601 E Georgia St, Woodruff, SC 29388-1953 | 2007-07-17 |
| 1629018031 | Matthew Dickson | Emergency Medicine | 500 S Cleveland Ave, Westerville, OH 43081-8971 | 2006-06-07 |
| 1528021706 | Matthew Jordan Dickson | Otolaryngology | 2 Broad Street Plz, Adirondack Ent, Glens Falls, NY 12801-4363 | 2006-04-10 |
| Street Address |
1628 PALM AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92154-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033514500 | Isaac Ortega Endahl | Physician Assistant | 1628 Palm Ave, San Diego, CA 92154-1027 | 2014-10-27 |
| 1639476401 | Matthew Aaron Colton | Physician Assistant | 1628 Palm Ave, San Diego, CA 92154-1027 | 2011-02-14 |
| 1194755363 | Kimberly K Sheker-dickson | Emergency Medicine | 1628 Palm Ave, San Diego, CA 92154-1027 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
| 1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
| 1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
| 1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
| 1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
| 1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
| 1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
| 1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
| 1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
| Find all providers in zip 92154 | ||||
| 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 |
| 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.