Organization Active NPI

Matsuo Enterprises Inc

Doing business as silicon valley pharmacy

  • Home Infusion Therapy Pharmacy
  • Campbell, CA
National Provider Identifier
1083622146
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
MATSUO ENTERPRISES INC
Doing business as
silicon valley pharmacy
Practice address
1550 Winchester Blvd Ste 107
Campbell, CA 95008-0553
Phone
(408) 378-5381
Fax
(408) 378-1159
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Kyle Matsuo
Title
Officer
Phone
(408) 378-5381

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

1550 Winchester Blvd Ste 107
Campbell, CA 95008-0553

Mailing address

PO Box 320485
Los Gatos, CA 95032-0108
Phone (408) 378-5381

Other identifiers 1

IdentifierTypeStateIssuer
PHY442280MedicaidCA

Other names 1

  • silicon valley pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930001859 CA DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Home Health AgencyDME Supplier - Medical Supply Company With Registered Pharmacist 9133247190 Practice locations: Campbell, CA
O20191206001937 CA Part B Supplier - Pharmacy 9133247190 Practice locations: Campbell, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Silicon Valley Pharmacy1550 Winchester Blvd, Campbell, CA 95008-0553(408) 378-5381 External Infusion Pumps and/or Supplies Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1550 S Winchester Blvd
Ste 107
Campbell, CA 95008
Phone (408) 378-5381

14107 Winchester Blvd
Ste M
Los Gatos, CA 95032
Phone (408) 378-5381

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1083622146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320485",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950320108",
            "telephone_number": "408-378-5381",
            "fax_number": "408-378-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 WINCHESTER BLVD STE 107",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080553",
            "telephone_number": "408-378-5381",
            "fax_number": "408-378-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATSUO ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "MATSUO",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "408-378-5381"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY442280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "silicon valley pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "silicon valley pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.