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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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Matthew Nordstrom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ucsf Pediatrics Associates
3.7 mi
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
NPI 1376614016 (415) 353-2000
University Of California San Francisco
3.8 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
3.8 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ALYSSA TOSHIMI GO
Pediatrics
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
ZACHARY EMMANUEL WAN SANDOVAL MD, MPH
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
RULAN YI MD
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
ELIZABETH HALE MONTESANO SCHEIBE MD
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
ISHAAN AMARJITSINGH SANGWAN
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
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
EVELYN MARIA HOOVER
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5001
VALERIE JUDITH FONG-SILVA MD
Student in an Organized Health Care Education/Training Program
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.

Which organizations bill Medicare for Matthew Nordstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Nordstrom reassigns Medicare benefits to 3 organizations: Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Nordstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Nordstrom was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.