Walnut Creek-Danville Oral Surgery
NPI 1679878763 · Oral and Maxillofacial Surgery Clinic/Center · Walnut Creek, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Walnut Creek-Danville Oral Surgery is a Oral and Maxillofacial Surgery Clinic/Center organization in Walnut Creek, CA (NPI 1679878763).
Provider details
- NPI number
- 1679878763
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terri Matulovich, Office Manager(925) 934-5565
- License
- 37490 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-01-20
- Last updated
- 2018-01-29
Frequently asked questions
- What is Walnut Creek-Danville Oral Surgery's NPI number?
- Walnut Creek-Danville Oral Surgery's National Provider Identifier (NPI) is 1679878763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walnut Creek-Danville Oral Surgery?
- Walnut Creek-Danville Oral Surgery is classified in the NPPES registry as Oral and Maxillofacial Surgery Clinic/Center (Ambulatory Health Care Facilities).
- Where is Walnut Creek-Danville Oral Surgery located?
- Walnut Creek-Danville Oral Surgery's practice location on file with NPPES is 1855 San Miguel Dr, Walnut Creek, CA 94596-5279.
- What is Walnut Creek-Danville Oral Surgery's phone number?
- The practice phone number listed in the NPPES registry for Walnut Creek-Danville Oral Surgery is (925) 934-5565.
- Does Walnut Creek-Danville Oral Surgery accept Medicare?
- Walnut Creek-Danville Oral Surgery is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Walnut Creek-Danville Oral Surgery?
- The authorized official listed on Walnut Creek-Danville Oral Surgery's NPPES record is Terri Matulovich, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walnut Creek-Danville Oral Surgery's NPI active?
- Yes — Walnut Creek-Danville Oral Surgery's NPI (1679878763) is active in the NPPES registry as of the last update on 2018-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.