Matthew Tjandra, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304539 Issued in CA

Practice address

2135 Westcliff Dr Ste 203
Newport Beach, CA 92660-5543

Phone

(949) 299-0297

NPI assigned

Aug 9, 2023

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Therapy Specialists Inc.Group PAC ID 9638594898, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mobile Therapy Specialists Inc

  • Physical Therapy Clinic/Center
  • Huntington Beach, CA
  • NPI 1235756677
  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1164105979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 STEPPING STONE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926034244",
            "telephone_number": "626-227-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 WESTCLIFF DR STE 203",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605543",
            "telephone_number": "949-299-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJANDRA",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ting, MD
• Tiong Yee Tan Licensed Clinical Social Worker Inc
• Miguel Tirado
• Beatrix Tirkanits, MD, FCSRC
• Alexander Herman Tischler, M.D.
• TKL Industries (OrthoSport Physical Therapy)
• Tobias Moeller-Bertram, M.D. Corp
• Todd Macauley DO a Medical Corporation
• Cara Todd, MD
• Michelle Todesco, RN, FNP-C

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.