Active NPI
Matthew John Anderson, PA-C
- Physician Assistant
- El Cajon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 55121
- Practice address
- 278 Avocado Ave
El Cajon, CA 92020-4604 - Phone
- (619) 456-9292
- NPI assigned
- Nov 8, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 55121 | CA | Primary |
Addresses
Primary practice location
278 Avocado Ave
El Cajon, CA 92020-4604
Mailing address
6327 Opal St
Rancho Cucamonga, CA 91701-3316
Phone (909) 418-7075
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11865 Carmel Mountain Rd
Suite 1104
San Diego, CA 92128-4610
Phone (858) 997-2583
204 S Santa Fe Ave
Vista, CA 92084-6002
Phone (858) 554-1212
299 J St
Chula Vista, CA 91910-5831
Phone (858) 799-2366
3180 University Ave
Suite 120
San Diego, CA 92104-2046
Phone (858) 554-1212
3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855
375 Camino de la Reina
Suite C
San Diego, CA 92108-3082
Phone (619) 436-4776
3900 5TH Ave
Suite 110
San Diego, CA 92103-3122
Phone (858) 554-1212
4142 Adams Ave
Suite 102
San Diego, CA 92116-2593
Phone (858) 617-0717
4358 Bonita Rd
Suite 400
Bonita, CA 91902-1421
Phone 619695126645
477 N El Camino Real
Suite A200
Encinitas, CA 92024-1350
Phone (858) 766-6007
555 W C St
Suite 102
San Diego, CA 92101-8470
Phone (858) 333-4977
6386 Alvarado CT
Suite 101
San Diego, CA 92120-4906
Phone (858) 900-9490
6551 Mission Gorge Rd
San Diego, CA 92120-2306
Phone (858) 554-1212
665 San Rodolfo Dr
Suite 110
Solana Beach, CA 92075-2047
Phone (858) 266-9551
752 Medical Ctr CT
Suite 200
Chula Vista, CA 91911-6659
Phone (619) 421-4311
7855 Ivanhoe Ave
Suite 110
La Jolla, CA 92037-4507
Phone (858) 869-0188
9850 Genesee Ave
La Jolla, CA 92037-1208
Phone (858) 864-9800
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.17 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55121 | CA | MD | Pharmacist |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grossmont Hospital Corporation | Past | Accepting new patients | |
| UC San Diego Health - Rancho Family Medical Group | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Primary Care Clinic/Center
- La Jolla, CA
- NPI 1134309305
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Multi-Specialty Clinic/Center
- Temecula, CA
- NPI 1003385071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1144733544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6327 OPAL ST",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917013316",
"telephone_number": "909-418-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 AVOCADO AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920204604",
"telephone_number": "619-456-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "55121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.
- 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.