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MATTHEW NORDSTROM
NPI 1205280187
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 18, 2016PECOS Enrolled
550 16TH ST FL 4, 4551 BOX 0110, SAN FRANCISCO, CA 94143(415) 476-6245 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Nordstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW NORDSTROM (NPI 1205280187) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205280187
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW NORDSTROM
Location Address550 16TH ST FL 4, 4551 BOX 0110San Francisco, CA 94143-2549
Mailing Address366 45th St Apt JOakland, CA 94609-2242
Phone(415) 476-6245
Sole ProprietorNo
Enumeration DateApril 18, 2016
✔ NPI 1205280187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 16TH ST FL 4, San Francisco, CA 94143
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Nordstrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY BRIAN RUSS PH.D.
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4, 4551, BOX 0110
SAN FRANCISCO, CA 94143
San Francisco County (303) 912-7799
CAROL ZLATUNICH RD, CSP
Dietitian, Registered (Nutrition, Pediatric)
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5639
MS. BIANCA REYNO ARGUEZA MD
Pediatrics
550 16TH ST FL 4, 4551, BOX 0110
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-6245
MARY ROLFES STUDENT
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-6245
ANNE HERBERT LYON M.D.
Pediatrics
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-6245
MR. TARON RASHAD DAVIS M.D.
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 502-2338
SONJA MARIE SWENSON
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
SARAH BOURNE
Pediatrics
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Nordstrom's NPI number?

The NPI number for Matthew Nordstrom is 1205280187. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Matthew Nordstrom located?

Matthew Nordstrom practices at 550 16th St Fl 4 4551 Box 0110, San Francisco, CA 94143. The listed phone number is (415) 476-6245.

What is Matthew Nordstrom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Nordstrom enrolled in Medicare?

Yes. Matthew Nordstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Nordstrom was last updated on April 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.