Provider Demographics
NPI:1235543166
Name:MATTHEWS, TODD (DPM)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 SOLAR DR.
Mailing Address - Street 2:SUITE #102
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036
Mailing Address - Country:US
Mailing Address - Phone:805-988-3338
Mailing Address - Fax:805-830-1537
Practice Address - Street 1:4080 LOMA VISTA RD.
Practice Address - Street 2:SUITE D
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-650-8333
Practice Address - Fax:805-650-8382
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN41000313A213ES0103X
CAE5342213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery