STEVEN MATIS


Address: 34800 Bob Wilson Dr., Nmcsd, San Diego, CA 92134
Phone: 6195568191

STEVEN MATIS (NPI# 1063506640) 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) 1063506640
Entity Type Individual
Full Name STEVEN MATIS
Credential DDS
Practice Address 34800 Bob Wilson Dr.
Nmcsd
San Diego
CA 92134
Mailing Address 2185 Station Village Way
Apt. #2433
San Diego
CA 92108
Practice Telephone 6195568191
Mailing Telephone 6196839392
Enumeration Date 2006-10-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
WY986 WY Dental Providers

Office Location

Street Address 34800 BOB WILSON DR.
NMCSD
City SAN DIEGO
State CA
Zip Code 92134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457888042 Stephen Mark Kalkhoff Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Dr., Naval Medical Center San Diego Dept. of Obgyn, San Diego, CA 92134 2017-05-15
1053616649 Jason Alan Goff Nurse Anesthetist, Certified Registered 34800 Bob Wilson Dr., San Diego, CA 92134-5600 2011-01-13
1194046680 Paul Andrew Cripe Radiology 34800 Bob Wilson Dr., Dept of Radiology Bldg1 Fl2, San Diego, CA 92134 2010-06-18
1174844815 Erik Joseph Olson Surgery 34800 Bob Wilson Dr., Bldg 3, 4th Floor, San Diego, CA 92134 2010-06-17
1538334073 Erin Joanne Vance Obstetrics & Gynecology 34800 Bob Wilson Dr., Naval Medical Center San Diego, San Diego, CA 92134-5000 2008-04-25
1063555613 Joann Rigoglioso Social Worker 34800 Bob Wilson Dr., Nmcsd, San Diego, CA 92134 2007-02-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
Find all providers in zip 92134

Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699242933 Albert Young Dentist Naval Medical Ctr Bob Wilson Dr, San Diego, CA 92134-0001 2018-10-25
1861983090 Toma, Petros & Evans Dds Inc. Dentist 1901 4th Ave Ste 300, San Diego, CA 92101-2381 2018-05-23
1003161969 Malieka Trinee Johnson Dentist 4784 Muir Ave, San Diego, CA 92107-2218 2012-07-17
1679868921 Nicholas R Jize Dentist 12778 Rancho Penasquitos Blvd, Suite A, San Diego, CA 92129-2946 2011-06-15
1538358643 North Park Smiles Dentist 3795 30th St, San Diego, CA 92104-3631 2007-10-15
1316167273 John Charles Luomanen Dentist 4970 Beauchamp Ct, San Diego, CA 92130-2742 2007-04-25
1639564784 Tyler Quinn Dentist Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2015-04-04
1013086032 Wayne Michael Deutsch Dentist 2310 Craven St, San Diego, CA 92136-5596 2006-11-06
1285614891 Richard Anthony Joralmon II Dentist 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 2006-01-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336740216 Thomas Robert Matthew Simpson Dentist 1387 Kirsten Ct, Red Bluff, CA 96080-4905 2020-11-05
1629683339 Jisoo Choe Dentist 232 E 2nd St Apt 451, Los Angeles, CA 90012-4098 2020-09-10
1831703479 Seville Dental Group, Inc. Dentist 7705 Seville Ave Ste A, Huntington Park, CA 90255-6570 2020-09-01
1114537842 Sepideh Rahmani Dentist 945 Orchard Creek Ln Ste 200, Lincoln, CA 95648-8473 2020-08-06
1861018160 Dentists On Wheels Dentist 2210 Gladstone Dr, Pittsburg, CA 94565-5101 2020-06-22
1558997148 S. Safarian Dmd Inc Dentist 955 Boardwalk Ste 304, San Marcos, CA 92078-2659 2020-03-16
1902455884 Aileen Arce Dds Incorporated Dentist 345 F St Ste 140, Chula Vista, CA 91910-2632 2019-09-04
1972156420 Jessica R Yang Dentist 6950 Santa Teresa Blvd Ste D, San Jose, CA 95119-1300 2019-07-23
1447811070 Roop Mayall Dentist 1215 Plumas St Ste 52, Yuba City, CA 95991-3492 2019-06-25
1629557152 Jia Tian Dentist 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 2018-08-06
Find all providers with the same taxonomy

Competitor

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City SAN DIEGO
Zip Code 92134

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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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