Matthew K. Szkalak, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36431 Issued in CA

Practice address

654 W Wilson St
Costa Mesa, CA 92627-2469

Phone

(949) 933-9630

Fax

(714) 525-9572

NPI assigned

Sep 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

College of Physicians and Surgeons (California), 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marque Medical Clinic, Inc.Group PAC ID 9537345665, 21 clinicians

Ronald D Zlotolow Medical Group IncGroup PAC ID 9931410214, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Marque Medical Clinic, Inc.

  dba Marque Urgent Care, Inc.-Newport Beach

  • Urgent Care Clinic/Center
  • Newport Beach, CA
  • NPI 1538466107
  Medicare reassignment Care Compare group NPD
• Ronald D Zlotolow Medical Group Inc

  • Physical Medicine & Rehabilitation Physician
  • Santa Monica, CA
  • NPI 1629466602
  Medicare reassignment Care Compare group NPD
• Lax Physical Therapy PC

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1528636446
  NPD Authorized official
• Mksdpt Inc

  dba MKS Physical Therapy

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1689119232
  NPD (past) Authorized official
• Marque Medical Clinic, Inc

  • Urgent Care Clinic/Center
  • Chula Vista, CA
  • NPI 1164303442
  NPD

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1073822920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 W WILSON ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272469",
            "telephone_number": "949-933-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 W WILSON ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272469",
            "telephone_number": "949-933-9630",
            "fax_number": "714-525-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZKALAK",
        "first_name": "MATTHEW",
        "middle_name": "K.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Jacob Sweidan, MD
• Alex Swenor
• Jessica Rose Swierczek, PHYSICIAN ASSISTANT
• Synergy Diagnostics Laboratory, Inc.
• Jenna Syverson, PSYD
• Benjamin J Szu, OD
• Viet Ta
• Jeremiah Taaca
• Kent Tabago
• Tiffany Tabares

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.