MATTHEW WILSON


Address: 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198
Phone: 6192869480

MATTHEW WILSON (NPI# 1699138891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers MATTHEW WILSON

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

Office Location

Street Address 5555 RESERVOIR DR STE 104
City SAN DIEGO
State CA
Zip Code 92120-5198

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City SAN DIEGO
Zip Code 92120

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Dataset Information

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.

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