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MATTHEW SCOTT DEAN B.A., B.S., A.A.
NPI 1922800408
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Active since March 26, 2025PECOS Enrolled
401 BICENTENNIAL WAY STE 110, SANTA ROSA, CA 95403(707) 791-0218 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Scott Dean B.a., B.s., A.a. NPPES

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

MATTHEW SCOTT DEAN B.A., B.S., A.A. (NPI 1922800408) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922800408
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW SCOTT DEANCredential: B.A., B.S., A.A.
Location Address401 BICENTENNIAL WAY STE 110Santa Rosa, CA 95403-2149
Mailing Address1351 Bristol RdMoscow, ID 83843-5000 · (208) 997-8438
Phone(707) 791-0218
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1922800408 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.
401 BICENTENNIAL WAY STE 110, Santa Rosa, CA 95403
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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 Scott Dean B.a., B.s., A.a. 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 5

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

NANCY WANJIRU GITHERE-THANDE DO, MPH
Student in an Organized Health Care Education/Training Program
401 BICENTENNIAL WAY STE 110
SANTA ROSA, CA 95403
Sonoma County (707) 791-0218
DR. ZACHARY DAVID KARJALA ANDERSON DO, MS
Student in an Organized Health Care Education/Training Program
401 BICENTENNIAL WAY STE 110
SANTA ROSA, CA 95403
Sonoma County (707) 393-4000
MEGAN CHANG
Student in an Organized Health Care Education/Training Program
401 BICENTENNIAL WAY STE 110
SANTA ROSA, CA 95403
Sonoma County (707) 326-6297
DR. ELIA R. COLE DO, MPH
Student in an Organized Health Care Education/Training Program
401 BICENTENNIAL WAY STE 110
SANTA ROSA, CA 95403
Sonoma County (707) 393-4577
DR. KIRSTEN WINNIE MD
Family Medicine
401 BICENTENNIAL WAY STE 110
SANTA ROSA, CA 95403
Sonoma County (707) 393-4000

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 Dean's NPI number?

The NPI number for Matthew Dean is 1922800408. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Matthew Dean located?

Matthew Dean practices at 401 Bicentennial Way Ste 110, Santa Rosa, CA 95403. The listed phone number is (707) 791-0218.

What is Matthew Dean'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 Dean enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Dean was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.