Provider Demographics
NPI:1033457684
Name:NAYTHONS, MATTHEW EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:EDWARD
Last Name:NAYTHONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 HARBOR DR
Mailing Address - Street 2:SUITE #101
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-2844
Mailing Address - Country:US
Mailing Address - Phone:650-280-0390
Mailing Address - Fax:
Practice Address - Street 1:180 HARBOR DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-2844
Practice Address - Country:US
Practice Address - Phone:415-332-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25436207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine