Individual provider Active NPI

Matthew House, D.O.

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1134192842
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A7888 Issued in CA
Practice address
1322 E Shaw Ave
Suite 410
Fresno, CA 93710-0000
Phone
(559) 226-1316
Fax
(559) 226-1315
NPI assigned
Feb 12, 2006
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A7888 CA Primary

Addresses

Primary practice location

1322 E Shaw Ave
Suite 410
Fresno, CA 93710-0000

Mailing address

1322 E Shaw Ave
Suite 410
Fresno, CA 93710-0000
Phone (559) 226-1316

Other identifiers 1

IdentifierTypeStateIssuer
20A7888OtherCACA STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000643 CA Practitioner - Psychiatry 5395792337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Kansas City, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
House Psychiatric Clinic IncGroup PAC ID 4587742432, 14 clinicians

Practice addresses (Care Compare)

1322 E Shaw Ave
Suite 410
Fresno, CA 93710-7904
Phone (559) 226-1316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
House Psychiatric Clinic, Inc. Psychiatry CurrentSince Jan 2, 2008 Accepting new patients
Bio-Behavioral Medical Clinics, Inc Psychiatry PastSince Jan 1, 2007 Accepting new patients
Psycorp Solutions, Inc. Psychiatry PastSince Mar 5, 2007 Accepting new patients
Regents of University of California Psychiatry Past Accepting new patients

Locations

1322 E Shaw Ave
Ste 410
Fresno, CA 93710
Phone (559) 226-1316

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1134192842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E SHAW AVE",
            "address_2": "SUITE 410",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937100000",
            "telephone_number": "559-226-1316",
            "fax_number": "559-226-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E SHAW AVE",
            "address_2": "SUITE 410",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937100000",
            "telephone_number": "559-226-1316",
            "fax_number": "559-226-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-12",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A7888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE MEDICAL LICENSE",
            "identifier": "20A7888",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.