MATTHEW RETTIG (NPI# 1487751798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487751798 |
| Entity Type | Individual |
| Full Name | MATTHEW RETTIG |
| Credential | MD |
| Practice Address |
200 Ucla Medical Plz Ste 140 Los Angeles CA 90095-3075 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3107947152 |
| Practice Fax Number | 3107941666 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A52586 | CA | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
A52586 | CA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | A52586 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A525860 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558667675 | Matthew Ryan Rettig | Pharmacist | 522 Owen Dr, Fayetteville, NC 28304-3432 | 2011-02-08 |
| Street Address |
200 UCLA MEDICAL PLZ STE 140 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003800806 | Victor Nitti | Urology | 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095-8344 | 2005-09-07 |
| 1487206660 | Adam Kinnaird | Urology | 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 | 2019-07-09 |
| 1689107922 | Ariel Moradzadeh | Urology | 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095-8344 | 2017-04-04 |
| 1376969436 | Denise Asafu-adjei | Urology | 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095-8344 | 2014-03-13 |
| 1497198337 | Andrew Thomas Lenis | Urology | 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 | 2013-04-10 |
| 1407299225 | Stephanie Chu Pannell | Urology | 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095-0001 | 2013-04-10 |
| 1346583176 | Wayne Brisbane | Urology | 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095-6410 | 2013-03-29 |
| 1376800300 | Joseph David Shirk | Urology | 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 | 2012-04-16 |
| 1548535784 | Nathan Osbun | Transplant Surgery | 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 | 2012-03-21 |
| 1548558067 | Aydin Pooli | Urology | 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095-0001 | 2011-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1861917593 | Namphuong Tran | Internal Medicine | 10990 Wilshire Blvd Ste 300, Los Angeles, CA 90024-3937 | 2017-08-03 |
| 1922534866 | Vincent Louie Ramos Mendiola | Internal Medicine | 1441 Eastlake Avenue, Ntt 3470, Los Angeles, CA 90033 | 2017-05-11 |
| 1295153740 | Anthony Charles Bejjani | Internal Medicine | 200 Medical Plaza Suite 120, Los Angeles, CA 90095-2673 | 2014-04-02 |
| 1366737231 | Caspian Oliai | Internal Medicine | 100 Ucla Medical Plaza Suite 550, Los Angeles, CA 90095-8358 | 2011-06-18 |
| 1184920944 | Rodolfo Gutierrez | Internal Medicine | 11800 Wilshire Blvd Ste 300, Los Angeles, CA 90025-6602 | 2011-01-26 |
| 1942526934 | Joomee Shim | Internal Medicine | 1441 Eastlake Ave # Nor3440, Los Angeles, CA 90089-5018 | 2010-04-15 |
| 1669604849 | George Yaghmour | Internal Medicine | 1441 E Lake Ave, Division of Hematology and Bmt, Los Angeles, CA 90089-0112 | 2009-08-20 |
| 1902934607 | Herbert I. Rappaport, M.d., A Professional Corporation | Internal Medicine | 158 N Anita Ave, Los Angeles, CA 90049-2720 | 2007-03-02 |
| 1417083791 | James L Meltzer | Internal Medicine | 5525 West Flauson Ave Kindred Hospital, Los Angeles, CA 90056-1047 | 2007-02-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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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.