MATTHEW ANDERSON (NPI# 1336673110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336673110 |
| Entity Type | Individual |
| Full Name | MATTHEW ANDERSON |
| Practice Address |
3900 Lakeville Hwy Petaluma CA 94954-5698 |
| Practice Telephone | 7077653452 |
| Mailing Telephone | 7077653452 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH39816 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665041 | Matthew Harlan Anderson | Counselor | 9233 Park Meadows Dr Ste 206, Lone Tree, CO 80124-5697 | 2020-09-28 |
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1700257193 | Matthew Cyle Anderson | Occupational Therapist | 3160 Color Palette Ave, Henderson, NV 89044-0277 | 2015-10-12 |
| 1871911438 | Matthew Anderson | Dentist | 2565 Ne Butler Market Rd, Bend, OR 97701-1587 | 2014-04-01 |
| 1760822860 | Matthew Gordon Anderson | Social Worker | 1905b Mission 66, Vicksburg, MS 39180-3711 | 2013-07-03 |
| 1326488008 | Matthew K Anderson | Optometrist | 506 7th St W, Saint Paul, MN 55102 | 2013-06-26 |
| 1073864963 | Matthew Ross Anderson | Dentist | 1120 15th St # Gc5110, Augusta, GA 30912-0004 | 2012-10-02 |
| 1710243688 | Matthew Ron Anderson | Dentist | 90 Doctors Park, Suite B, Santa Rosa, CA 94505 | 2012-04-05 |
| 1225325061 | Matthew Paul Anderson | Occupational Therapy Assistant | 11483 Petrel Ave, Weeki Wachee, FL 34614-2730 | 2011-06-30 |
| 1538329115 | Matthew Scott Anderson | Physical Therapist | 1070 N 1st St, Cameron, WI 54822-2000 | 2008-06-17 |
| Street Address |
3900 LAKEVILLE HWY |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-5698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919190 | Daniel G White | Family Medicine | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2005-08-10 |
| 1669089066 | Trinique Pham | Physical Therapist | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2020-09-29 |
| 1760981732 | Grace Wakim | Psychologist | 3900 Lakeville Hwy, Mob 2, Petaluma, CA 94954-5968 | 2018-02-06 |
| 1497289268 | Suzanne Aoyagi | Pharmacist | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2017-04-18 |
| 1972902971 | Tamar Segev | Obstetrics & Gynecology | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2014-08-15 |
| 1184960312 | Moe Metwalli | Pharmacist | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2012-12-16 |
| 1639351208 | Mary Dawn Burke | Physical Therapist | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2007-12-05 |
| 1144418120 | Lindsey Hibbard | Pediatrics | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2007-10-04 |
| 1174734404 | Valerie Kuskulis | Social Worker | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2007-05-25 |
| 1437291028 | Liana Yungay Lam | Optometrist | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676871 | Vanessa Khim | Pharmacist | 939 Lakeville St, Petaluma, CA 94952-3329 | 2019-06-05 |
| 1790158442 | Suzanne Lange | Pharmacist | 600 King Rd, Petaluma, CA 94952-1009 | 2015-11-03 |
| 1700186889 | Craig Edmond Rickard | Pharmacist | 373 S Mcdowell Blvd, Petaluma, CA 94954-3507 | 2010-10-23 |
| 1568516102 | Charles C Stuart | Pharmacist | 1932 Granite Valley Way, Petaluma, CA 94954-1842 | 2007-01-22 |
| 1962400721 | Soma Health Associates | Pharmacist | 35 Maria Dr, Suite 860, Petaluma, CA 94954-3548 | 2005-07-14 |
| 1568069664 | Jian Qing Liang | Pharmacist | 291 N Mcdowell Blvd, Petaluma, CA 94954-2306 | 2020-10-02 |
| 1750938015 | Eric Nguyen | Pharmacist | 365 E Washington St, Petaluma, CA 94952-3168 | 2019-08-21 |
| 1932764255 | Krystal Nicole Velez Farinacci | Pharmacist | 291 N Mcdowell Blvd, Petaluma, CA 94954-2306 | 2019-05-02 |
| 1548770258 | Laurel Whitney Carmichael | Pharmacist | 389 S Mcdowell Blvd, Petaluma, CA 94954-3507 | 2017-10-08 |
| 1497289268 | Suzanne Aoyagi | Pharmacist | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2017-04-18 |
| Find all providers in PETALUMA | ||||
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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.