DR. MATTHEW A PECCI (NPI# 1699749754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699749754 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW A PECCI |
| Credential | M.D. |
| Practice Address |
2625 Shadelands Dr Walnut Creek CA 94598-2512 |
| Mailing Address |
Po Box 31396 Walnut Creek CA 94598-8396 |
| Practice Telephone | 9259398585 |
| Practice Fax Number | 9259332709 |
| Mailing Telephone | 9259398585 |
| Mailing Fax Number | 9259332709 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 203880 | MA | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
A62112 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110062399A | 05 | |
| MA | 3206521 | 05 |
| Street Address |
2625 SHADELANDS DR |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851374243 | Linda Wensley | Occupational Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2005-11-21 |
| 1356956460 | Kali Anne Koziol | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-09-15 |
| 1972125359 | Jenna K Paynter | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-05-08 |
| 1811523020 | Darby June Nordin | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-03-19 |
| 1023658440 | Caitlin Mondt | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-01-14 |
| 1619517745 | Benjamin Joseph Hubbard | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-01-07 |
| 1558919944 | James Albertson | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2019-08-28 |
| 1477114809 | Katalin Bela | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2019-06-26 |
| 1770051906 | Hyun Woo Kim | Physical Therapist | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-11-06 |
| 1093282576 | Courtney Katz | Orthopaedic Surgery | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497071302 | Peter Swann Md, Inc | Family Medicine | 1839 Ygnacio Valley Rd, Suite 363, Walnut Creek, CA 94598-3214 | 2010-04-16 |
| 1932240959 | Alvin Russell Loosli | Family Medicine | 2635 N Main St, Walnut Creek, CA 94597-2712 | 2007-02-11 |
| 1548312697 | William Clayton Ross | Family Medicine | 1777 Botelho Dr, Suite #110, Walnut Creek, CA 94596-5086 | 2007-01-17 |
| 1710083654 | Nancy Elizabeth Rolnik | Family Medicine | 108 La Casa Via # 106, Walnut Creek, CA 94598-3013 | 2006-09-16 |
| 1508339375 | Nancy E Rolnik Md PC | Family Medicine | 108 La Casa Via # 106, Walnut Creek, CA 94598-3013 | 2019-01-04 |
| 1649327685 | Julia S Hohman | Family Medicine | 1181 Boulevard Way Ste B, Walnut Creek, CA 94595-1186 | 2007-01-04 |
| 1851358915 | Robert H Ozaki | Family Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2006-05-01 |
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|---|---|---|---|---|
| 1447875570 | Nader Sobh Inc | Family Medicine | 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 | 2020-06-15 |
| 1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
| 1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.