Healthcare Provider Details

I. General information

NPI: 1063088870
Provider Name (Legal Business Name): MATTHEW MALCOLM PIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 V STREET PSSB 1200
SACRAMENTO CA
95817
US

IV. Provider business mailing address

4610 X ST STE 4202
SACRAMENTO CA
95817-2200
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA182670
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: