Individual provider Active NPI

Matthew U To, D.C.

  • Chiropractor
  • Carson, CA
National Provider Identifier
1023193091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27958 Issued in CA
Practice address
1000 E Dominguez St
#110
Carson, CA 90746-3600
Phone
(310) 366-7553
Fax
(310) 366-7545
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27958 CA Primary

Addresses

Primary practice location

1000 E Dominguez St
#110
Carson, CA 90746-3600

Mailing address

1000 E Dominguez St
#110
Carson, CA 90746-3600
Phone (310) 366-7553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181102000586 CA Practitioner - Chiropractic 2567437544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality Medical Group PCGroup PAC ID 5193956340, 4 clinicians

Practice addresses (Care Compare)

27699 Jefferson Ave
Suite 210
Temecula, CA 92590-2696
Phone (951) 389-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27958CAMDChiropractor
27958CAMDNeonatal/Pediatric Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Medical Group PC CurrentSince Aug 8, 2018 Accepting new patients
Vitality Medical Group PC Chiropractor CurrentSince Aug 8, 2018 Accepting new patients

Locations

623 E Latham Ave
Hemet, CA 92543
Phone (951) 925-8082

27699 Jefferson Ave
Ste 210
Temecula, CA 92590
Phone (951) 389-0500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023193091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E DOMINGUEZ ST",
            "address_2": "#110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463600",
            "telephone_number": "310-366-7553",
            "fax_number": "310-366-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DOMINGUEZ ST",
            "address_2": "#110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463600",
            "telephone_number": "310-366-7553",
            "fax_number": "310-366-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TO",
        "first_name": "MATTHEW",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.