Active NPI
Christina L. Matts, MD
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- License
- A96301
- Practice address
- 147 N Brent St
Ventura, CA 93003 - Phone
- (805) 652-5011
- NPI assigned
- Nov 3, 2005
- Last updated
- Dec 8, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A96301 | CA | |
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | A96301 | CA | Primary |
Addresses
Primary practice location
147 N Brent St
Ventura, CA 93003
Mailing address
147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011
Other practice location 1
701 N Wendy Dr
Newbury Park, CA 91320
Phone (805) 404-0770
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A96301 | Other | CA | MEDICAL LICENSE |
| 00A963010 | Medicaid | CA | |
| 10329259-1205 | Other | UT | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96301 | CA | MD | Hospice and Palliative Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Health System | Hospice and Palliative Medicine | Current | Accepting new patients |
Locations
422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510
2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469
Interoperability endpoints
- christinamatts@cmhealthsys.allscriptsdirect.net
- cmatts@exer.direct.codonix.com
Organizations & group practices 1
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.
-
dba Community Memorial Hospital - Ventura
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
Hospice and Palliative Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544227200000",
"number": "1063403590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032809",
"telephone_number": "805-652-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-652-5011"
}
],
"practiceLocations": [
{
"address_1": "701 N Wendy Dr",
"address_purpose": "LOCATION",
"city": "Newbury Park",
"state": "CA",
"postal_code": "91320",
"country_code": "US",
"telephone_number": "805-404-0770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTS",
"first_name": "CHRISTINA",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2018-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A96301",
"primary": false
},
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A96301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A96301",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A963010",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "10329259-1205",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; 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.