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MATTHEW DAVID REYNOLDS NP NPI 1639698947


NPI Information

NPI: 1639698947
Provider Name: MATTHEW DAVID REYNOLDS, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: EAST BAY AIDS CENTER MEDICAL GROUP,INC.

PECOS Registration: Yes

Address:
3100 SUMMIT ST FL 2
OAKLAND, CA
ZIP 94609
Phone: (510) 869-8400
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Matthew David Reynolds, NP is an adult health nurse practitioner in Oakland, CA with 6 years of experience. Matthew David Reynolds, NP NPI is 1639698947. 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:

3100 SUMMIT ST FL 2
OAKLAND, CA
ZIP 94609
Phone: (510) 869-8400

The NPI 1639698947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/18/2017 and was last updated on 8/29/2018.


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
1163W00000XRegistered Nurse95040508CALIFORNIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3363LA2200XNurse PractitionerAdult Health95009762CALIFORNIAYes

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.