Active NPI
Jarrod David Matthei, M.D.
- Occupational Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- A168221
- Practice address
- 10833 Le Conte Ave Ste 17-240
Los Angeles, CA 90095-1603 - Phone
- (310) 825-6771
- NPI assigned
- Mar 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Occupational Medicine Physician | 2083X0100X | A168221 | CA | Primary |
Addresses
Primary practice location
10833 Le Conte Ave Ste 17-240
Los Angeles, CA 90095-1603
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
16899 W Bernardo Dr
San Diego, CA 92127-1603
Phone (858) 499-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A168221 | CA | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| Regents of the Univ of Ca Emer Med | Multi-Specialty | Current | Accepting new patients |
| UC Regents | Multi-Specialty | Past | Accepting new patients |
| UCLA Medical Group | Multi-Specialty | Past | Accepting new patients |
Locations
File 55675
Los Angeles, CA 90074
10833 Le Conte Ave
Ste 17240
Los Angeles, CA 90095
Phone (310) 825-6771
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
16899 W Bernardo Dr
San Diego, CA 92127
Phone (858) 499-2705
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1104889138
Multi-Specialty
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1053738948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE STE 17-240",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951603",
"telephone_number": "310-825-6771"
}
],
"practiceLocations": [
{
"address_1": "16899 W Bernardo Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921271603",
"country_code": "US",
"telephone_number": "858-499-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTHEI",
"first_name": "JARROD",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-28",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "A168221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.