MATTHEW WILSON (NPI# 1699138891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699138891 |
| Entity Type | Individual |
| Full Name | MATTHEW WILSON |
| Credential | DPM |
| Practice Address |
5555 Reservoir Dr Ste 104 San Diego CA 92120-5198 |
| Practice Telephone | 6192869480 |
| Practice Fax Number | 6192864568 |
| Mailing Telephone | 6192869480 |
| Mailing Fax Number | 6192864568 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5700 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00000 | AZ | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211231 | Matthew Wilson | Homemaker | 5515 Plain City Georgesville Rd, Plain City, OH 43064-8825 | 2020-09-29 |
| 1821655986 | Matthew Wilson | Student in an Organized Health Care Education/Training Program | 322 E Prentiss St Apt 502, Iowa City, IA 52240-1766 | 2019-05-23 |
| 1003472853 | Matthew Francis Wilson | Social Worker | 417 Gettysburg St Ste 200, Pittsburgh, PA 15206-4529 | 2019-05-17 |
| 1629492798 | Matthew James Wilson | Student in an Organized Health Care Education/Training Program | 725 W Maple St, Johnson City, TN 37604-6507 | 2014-02-10 |
| 1568752392 | Matthew Steven Wilson | Orthopaedic Surgery | 834 Chestnut Street, Suite G-114, The Philadelphia Hand Center, Philadelphia, PA 19107 | 2011-04-13 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1184892531 | Matthew J Wilson | Technician, Other | 119 Beal Pkwy Se, Suite 101, Fort Walton Beach, FL 32548-5386 | 2008-02-19 |
| 1003093600 | Matthew J. Wilson | Internal Medicine | 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 | 2008-01-25 |
| 1770193732 | Matthew Dwight Wilson | Case Manager/Care Coordinator | 2250 N Airport Rd, Weatherford, OK 73096-3351 | 2020-08-05 |
| 1972128643 | Matthew Hall Wilson | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-09 |
| Street Address |
5555 RESERVOIR DR STE 104 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285703413 | John Glenn Finkenberg | Orthopaedic Surgery | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| 1760551915 | Mark David Jacobson | Orthopaedic Surgery | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| 1174692206 | James Eric Bates | Orthopaedic Surgery | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| 1033288071 | Eric Robert Horton | Specialist | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| 1811066905 | Alvarado Orthopedic Medical Group, Inc. | Specialist | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437348919 | Ryan Yen Choy Lee | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2007-10-19 |
| 1295899888 | Podiatry Associates of San Diego | Podiatrist | 3330 Third Avenue #402, San Diego, CA 92103-5639 | 2006-12-20 |
| 1962517508 | Patricia Lynn Forg | Podiatrist | 3989 32nd St, San Diego, CA 92104-2001 | 2006-08-21 |
| 1730111469 | Renee Gregorio | Podiatrist | 3636 5th Ave, #300, San Diego, CA 92103-4230 | 2006-07-06 |
| 1962456400 | Richard M and Donald R Green Ptrs Dba San Diego Podiatry Group | Podiatrist | 2650 Camino Del Rio N, Suite 101, San Diego, CA 92108-1621 | 2006-05-20 |
| 1053317545 | Nicholas Nelson Desantis | Podiatrist | 2306 6th Ave, San Diego, CA 92101-1643 | 2005-06-21 |
| 1013911395 | Sophie I Liu | Podiatrist | 7297 Ronson Rd Ste H, San Diego, CA 92111-1428 | 2005-06-02 |
| 1073128385 | Aisha Ahmed, Dpm, Inc. | Podiatrist | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2020-09-14 |
| 1295249902 | San Diego Foot & Ankle, Inc | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2017-11-17 |
| 1770014516 | James Willmore | Podiatrist | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2017-03-23 |
| 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.