# MATTHEW D. MINGRONE, MD, A PROFESSIONAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376665380
- **Authorized official:** DR. MATTHEW DOMINIC MINGRONE MD (CEO)
- **Authorized official phone:** (408) 374-4370

## Contact information

- **Practice address:** 555 KNOWLES DR, SUITE 121, LOS GATOS, CA 95032-1549
- **Practice address phone:** (408) 374-4370
- **Practice address fax:** (408) 374-8526
- **Mailing address:** 555 KNOWLES DR, SUITE 121, LOS GATOS, CA 95032-1549
- **Mailing address phone:** (408) 374-4370
- **Mailing address fax:** (408) 374-8526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | A67205 | CA | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020