MR. MATTHEW GUY GARIBALDI (NPI# 1720548936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720548936 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW GUY GARIBALDI |
| Credential | MS, CPO |
| Practice Address |
1500 Owens St Ste 115 San Francisco CA 94158-2338 |
| Practice Telephone | 4154761788 |
| Practice Fax Number | 4154767003 |
| Mailing Telephone | 4154761788 |
| Mailing Fax Number | 4154767003 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PED | 1973 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1825 4th St # M5304, San Francisco, CA 941432350 | 4154761788 | 4154767003 |
| 400 Parnassus Ave # A096, San Francisco, CA 941432202 | 4154761788 | 4154767003 |
| Street Address |
1500 OWENS ST STE 115 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94158-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629544499 | Alexander Hetherington | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-10-19 |
| 1669932372 | Scott Alexander Annis | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2019-03-20 |
| 1952878597 | Corin Shirley | Orthotist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532298 | Carla Stern | Occupational Therapist | 940 4th Street, San Francisco, CA 94158 | 2020-09-15 |
| 1386272771 | Olga Agnieszka Lannon | Registered Nurse | 701 China Basin Street, San Francisco, CA 94158 | 2020-03-31 |
| 1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
| 1518448430 | Christine Caitlin-quinley Magdalin | Physical Therapist | 1600 Owens Street, 6th Floor, San Francisco, CA 94158 | 2018-08-28 |
| 1477050730 | Daniel Bradford Cary Woolridge | Student in an Organized Health Care Education/Training Program | 1975 Fourth St., San Francisco, CA 94158 | 2018-04-12 |
| 1992223069 | Ambili N Thannil | Nurse Practitioner | 550 16th Street 5th Floor, San Francisco, CA 94158 | 2017-09-08 |
| 1831637974 | Michele Brown Foster | Nurse Practitioner | 1975 Fourth Street, San Francisco, CA 94158 | 2017-02-09 |
| 1124487525 | Jennifer Waters | Occupational Therapist | 1975 4th Street, Box 4050, Rehab Services, San Francisco, CA 94158 | 2016-02-15 |
| 1598148173 | Gabriel Perez Schwartz | Registered Nurse | 1825 Fourth Street, Fourth Floor, San Francisco, CA 94158 | 2015-07-01 |
| 1235424086 | Fanny Mojdeh Elahi | Psychiatry & Neurology | 675 Nelson Rising Lane, Ucsf Memory and Aging, San Francisco, CA 94158 | 2011-06-09 |
| Find all providers in zip 94158 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629544499 | Alexander Hetherington | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-10-19 |
| 1518932631 | University of California Sfgh Medical Group | Prosthetist | 2550 23rd St, Bldg 9, Suite 119, San Francisco, CA 94110-3518 | 2006-02-22 |
| 1669932372 | Scott Alexander Annis | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2019-03-20 |
| 1801337597 | Anthony Ung | Prosthetist | 424 9th St, Suite 200, San Francisco, CA 94103-4411 | 2017-03-14 |
| 1104249838 | Thomas Herman | Prosthetist | 330 Divisadero St, San Francisco, CA 94117-2209 | 2014-01-31 |
| 1588819833 | Christopher William Herman | Prosthetist | 4150 Clement St, San Francisco, CA 94121-1545 | 2008-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752942 | Elizabeth Olajide | Prosthetist | 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 | 2020-02-20 |
| 1831733948 | Shayla R Williams | Prosthetist | 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 | 2019-10-31 |
| 1578111290 | Charmie Johnson | Prosthetist | 7309 University Ave Ste B, La Mesa, CA 91942-0525 | 2019-08-27 |
| 1790341915 | Gloria Tatiana Dixon | Prosthetist | 32366 Evening Primrose Trl, Campo, CA 91906-3162 | 2019-05-13 |
| 1629633219 | Duana Robinson | Prosthetist | 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 | 2019-05-08 |
| 1366908741 | Alicia Lander | Prosthetist | 5252 Foothill Blvd, Oakland, CA 94601-5438 | 2019-02-11 |
| 1154895944 | Keyonia K Paramore | Prosthetist | 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 | 2019-01-15 |
| 1255815155 | Mary Alice Swiney | Prosthetist | 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 | 2018-09-18 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| 1710482807 | John Vetter | Prosthetist | 5110 Whitsett Ave, Valley Village, CA 91607-3016 | 2018-03-29 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94158 |
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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.