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MATTHEW CHARLES KIDD MD NPI 1346232790


NPI Information

NPI: 1346232790
Provider Name: MATTHEW CHARLES KIDD, MD
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

Address:
2238 PASEO DEL REY ST
NEEDLES, CA
ZIP 92363
Phone: (760) 326-2340
Get Directions

Matthew Charles Kidd, MD is a public health and general preventive medicine preventive medicine in Needles, CA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. Matthew Charles Kidd, MD NPI is 1346232790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2238 PASEO DEL REY ST
NEEDLES, CA
ZIP 92363-520
Phone: (760) 326-2340
Fax: (760) 326-2340

The enumeration date for this NPI number is 8/20/2005 and was last updated on 10/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineG37237CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G372370MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2G372370OTHERCALIFORNIABLUE SHIELD OF CA
3C379870OTHERCALIFORNIABLUE CROSS OF CA
4185307-02MEDICAIDARIZONA
500G372370MEDICAIDCALIFORNIA
6D26023MEDICARE UPIN
7TRAVELERSOTHER00G372370

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.