Active NPI
Leor Matalon, M.D
- Psychiatry Physician
- Vista, CA
National Provider Identifier
1114952876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A62950
- Practice address
- 440 S Melrose Dr Ste 201
Vista, CA 92081-6666 - Phone
- (760) 452-5150
- Fax
- (858) 764-2820
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A62950 | CA | Primary |
Addresses
Primary practice location
440 S Melrose Dr Ste 201
Vista, CA 92081-6666
Mailing address
8070 La Jolla Shores Dr
265
La Jolla, CA 92037-3230
Phone (760) 826-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A62950 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Litos O. Mallare, M.D., Inc. | Psychiatry | Past | Accepting new patients |
| Behavioral Health Medical Group of Beverly Hills Inc. | Psychiatry | Past | Accepting new patients |
| Pacific Health Systems, L.P. | Psychiatry | Past | Accepting new patients |
| Advanced TMS Clinic Inc | Psychiatry | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Beverly Hills, CA
- NPI 1740280445
-
- Psychiatry Physician
- Malibu, CA
- NPI 1932524485
-
- Psychiatry Physician
- National City, CA
- NPI 1669486429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1114952876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8070 LA JOLLA SHORES DR",
"address_2": "265",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920373230",
"telephone_number": "760-826-2120",
"fax_number": "858-764-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 S MELROSE DR STE 201",
"city": "VISTA",
"state": "CA",
"postal_code": "920816666",
"telephone_number": "760-452-5150",
"fax_number": "858-764-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATALON",
"first_name": "LEOR",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A62950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.