MATTHEW DAVID REYNOLDS (NPI# 1639698947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639698947 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID REYNOLDS |
| Credential | NP |
| Practice Address |
3100 Summit St Fl 2 Oakland CA 94609 |
| Mailing Address |
22 Elgin Park Apt 2 San Francisco CA 94103-1106 |
| Practice Telephone | 5108698400 |
| Mailing Telephone | 4152868815 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95040508 | CA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95009762 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Potrero Ave, San Francisco, CA 941103518 | 8884484911 | |
| 230 Golden Gate Ave, San Francisco, CA 941023706 | 4152868815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235059 | Matthew Reynolds | Registered Nurse | 1122 Hallamwood Trl S, Lakeland, FL 33813-1818 | 2019-09-30 |
| 1578129193 | Matthew Reynolds | Chiropractor | 10160 W 50th Ave Unit 4, Wheat Ridge, CO 80033-2339 | 2019-05-20 |
| 1760762629 | Matthew Reynolds | Surgery | 11200 Seminole Blvd Ste 210, Largo, FL 33778-3239 | 2011-08-24 |
| 1366947897 | Matthew Reynolds | Family Medicine | 2001 Vail Ave, Charlotte, NC 28207-1248 | 2018-03-27 |
| 1760855639 | Matthew Reynolds | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2015-11-02 |
| 1871984070 | Matthew Reynolds | Physical Therapist | 145 Hazard Ave, Enfield, CT 06082-4521 | 2015-02-10 |
| 1366700122 | Matthew Thomas Reynolds | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2012-04-30 |
| 1063739803 | Matthew Lee Reynolds | Family Medicine | 1313 Red Riv Ste 100, Austin, TX 78701-1923 | 2010-05-03 |
| 1386872430 | Matthew R. Reynolds | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2009-06-29 |
| 1811150394 | Matthew Ryan Reynolds | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2008-07-06 |
| Street Address |
3100 SUMMIT ST FL 2 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265484240 | Andrea Minor Thach | Internal Medicine | 3100 Summit St Fl 2, Oakland, CA 94609-3412 | 2006-05-17 |
| 1811543457 | Bharavi Brahmbhatt | Nurse Practitioner | 3100 Summit St Fl 2, Suite 2549, Oakland, CA 94609-3412 | 2019-08-09 |
| 1083042162 | Elsa Petronella Van Berry | Nurse Practitioner | 3100 Summit St Fl 2, Oakland, CA 94609-3412 | 2013-10-28 |
| 1649604497 | Diana Ung | Pharmacist | 3100 Summit St Fl 2, Oakland, CA 94609 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558838748 | Vlad Shteiman | Nurse Practitioner | 43 Yawpo Ave Ste 2, Oakland, NJ 07436-2736 | 2018-10-25 |
| 1720325012 | Arlie Stern | Nurse Practitioner | 4198 Shafter Ave, Oakland, CA 94609-2620 | 2013-01-07 |
| 1457696312 | Sumi Wong-yap | Nurse Practitioner | 818 Webster St., Oakland, CA 94607 | 2012-12-04 |
| 1306110523 | Angela Missaggia | Nurse Practitioner | 3451 E 12th St Fl 2, Oakland, CA 94601-3463 | 2012-03-06 |
| 1861540072 | Katherine Bedeian | Nurse Practitioner | 782 47th St, Oakland, CA 94609-1807 | 2007-01-08 |
| 1609837780 | Wi Lee Lee Kim | Nurse Practitioner | 250 East 18th Street, Oakland, CA 94606 | 2006-03-29 |
| 1265415202 | Victoria P Becker | Nurse Practitioner | 2505 W 14th St, Oakland, CA 94607-5031 | 2005-11-23 |
| 1023642113 | Florida Healthcare Advocates, LLC | Nurse Practitioner | 710 Regina Cir, Oakland, FL 34787-8961 | 2020-02-27 |
| 1407492879 | Monika K Niemiec | Nurse Practitioner | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2019-11-20 |
| 1780157651 | Jaime Young | Nurse Practitioner | 400 29th St Ste 501, Oakland, CA 94609-3550 | 2019-01-03 |
| Find all providers in OAKLAND | ||||
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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.