MEDICARE: MATTHEW SCERRI

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies	CA
3	332BC3200X	Customized Equipment (DME)
4	332BD1200X	Dialysis Equipment & Supplies (DME)
5	332BN1400X	Nursing Facility Supplies (DME)
6	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)

General Provider Information

NPI Number	:	1861973216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW SCERRI

Provider Business Mailing Address
First Line	:	40 BRUCE CT
Second Line	:
City	:	PLEASANT HILL
State	:	CA
Zip	:	94523-3601
Country	:	US
Telephone Number	:	925-381-0345
Fax Number	:

Provider Business Practice Location Address
First Line	:	3571 SAN PABLO DAM RD
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94803-2727
Country	:	US
Telephone Number	:	925-381-0345
Fax Number	:

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

Provider Enumeration Date	:	08/23/2018
Last Update Date	:	08/23/2018

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Directions to “ MATTHEW SCERRI ” Practice Location

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