Individual provider Active NPI

Jarrod David Matthei, M.D.

  • Occupational Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1053738948
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
A168221 Issued in CA
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

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903001465 CA Practitioner - Preventive MedicinePractitioner - Other (Physician) 8820415987 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A168221CAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc Multi-Specialty CurrentSince Aug 31, 2020 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Multi-Specialty CurrentSince Aug 31, 2020 Accepting new patients
Regents of the Univ of Ca Emer Med Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
UC Regents Multi-Specialty Past Accepting new patients
UCLA Medical Group Multi-Specialty PastSince Jul 17, 2022 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.

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

Verify at the official NPI Registry.