MEDICARE: ADORA L MATTHEWS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	18023	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659325488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADORA L MATTHEWS MD

Provider Business Mailing Address
First Line	:	1329 HOWE AVE
Second Line	:	SUITE 200
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-3363
Country	:	US
Telephone Number	:	916-678-6760
Fax Number	:	916-678-6761

Provider Business Practice Location Address
First Line	:	6 MEDICAL PLAZA
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-3037
Country	:	US
Telephone Number	:	916-781-1000
Fax Number	:	843-673-7336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	05/21/2014

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Directions to “ ADORA L MATTHEWS MD” Practice Location

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