Matthew J Holland (NPI# 1174804777, PAC ID# 0042573370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1174804777 |
| PAC ID by PECOS | 0042573370 |
| Professional Enrollment ID | I20180418002239 |
| Full Name | Matthew J Holland |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Address |
1761 Broadway St Vallejo CA 94589-2226 |
| Phone Number | 7076452700 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 8921910225 |
| Number of Group Practice Members | 6775 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1761 Broadway St, Vallejo, CA 94589-2226 | 7076452700 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Physicians | 9623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Kailean Mchugh | Otolaryngology | Permanente Medical Group Inc | 7300 Wyndham Dr, Sacramento, CA 95823-4913 |
| Catherine J. Choi | Ophthalmology | Permanente Medical Group Inc | 320 Lennon Ln, Walnut Creek, CA 94598-2419 |
| Justin M Leazenby | Psychologist, Clinical | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Crissy A Bankston | Psychologist, Clinical | Permanente Medical Group Inc | 3454 Hillcrest Ave, Antioch, CA 94531-8238 |
| Frank W Lien | Family Medicine | Permanente Medical Group Inc | 1190 Veterans Blvd, Redwood City, CA 94063-2037 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Shawn M Youngs | Family Medicine | Permanente Medical Group Inc | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 |
| Kristin G Leach | Family Medicine | Permanente Medical Group Inc | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 |
| Valerie M Tiscareno | Qualified Audiologist | Permanente Medical Group Inc | 15 Southgate Ave, Daly City, CA 94015-1413 |
| Kathryn K Erickson-ridout | Psychiatry | Permanente Medical Group Inc | 5755 Cottle Rd, San Jose, CA 95123-3640 |
| Street Address |
1761 BROADWAY ST |
| City | VALLEJO |
| State | CA |
| Zip | 94589-2226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie S Baskett | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jonathan D Getz | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Serena M Wong | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Heather L Nelson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeremiah L Johnson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeannie E Celestial | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Angel A Hurtado | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Allen T Mckee | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeffery R Takos | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Toni I Will | Qualified Audiologist | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne K Ogata | Optometry | 4300 Sonoma Blvd, Suite 508, Vallejo, CA 94589-2210 | |
| Anessa Y Larson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Lynnell Morris Sow | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Alicia C Moore | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Penny S Barron | Qualified Audiologist | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Kari A Cordero | Nurse Practitioner | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Alexander Yc Shen | Clinical Psychologist | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Leslie A Tsang | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Justin M Leazenby | Psychologist, Clinical | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Lynn Mckenna | Clinical Social Worker | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Find all physicians in zip 94589 | |||
| City | VALLEJO |
| Zip Code | 94589 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | VALLEJO + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Matthew J Holland.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.