David Alan Matsuyama, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA 7991T Issued in CA

Practice address

1000 Bristol St N Ste 29
Newport Beach, CA 92660-8917

Phone

(949) 476-2870

Fax

(949) 476-3087

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

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: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1104942911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRISTOL ST N STE 29",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608917",
            "telephone_number": "949-476-2870",
            "fax_number": "949-476-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRISTOL ST N STE 29",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608917",
            "telephone_number": "949-476-2870",
            "fax_number": "949-476-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUYAMA",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA 7991T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Nichole Matlack, DC
• Nichole Renee Matlick, M.D.
• Matrix Rehabilitation, Inc.
• Matrix Rehabilitation, Inc.
• Tyson Kazuo Matsumoto, D.P.T.
• Matthew Houston Clark MD Inc
• Matthew N. Koury, MD, MPH a Professional Corporation
• Matthew R. Brown, Optometrist, a Professional Corporation
• Audrianne Jane Matthews
• Miriam Geraldine Matulich, RD

• Optometrist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.

Verify at the official NPI Registry.