Individual provider Active NPI

Harlan Matles, M.D.

  • Internal Medicine Physician
  • Menlo Park, CA
National Provider Identifier
1164423604
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73278 Issued in CA
Practice address
1706 El Camino Real
Suite #200
Menlo Park, CA 94027-4127
Phone
(650) 391-0500
Fax
(650) 391-0503
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A73278 CA Primary

Addresses

Primary practice location

1706 El Camino Real
Suite #200
Menlo Park, CA 94027-4127

Mailing address

1706 El Camino Real Ste 200
Menlo Park, CA 94027-4110
Phone (650) 391-0500

Other practice location 1

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2013 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73278CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Watson and Matles, PC Internal Medicine CurrentSince Apr 28, 2024 Accepting new patients
Health for All, Inc. Past Accepting new patients
Health for All, Inc. Past Accepting new patients

Locations

1706 El Camino Real
Ste 200
Menlo Park, CA 94027
Phone (650) 391-0500

Interoperability endpoints

  • Direct secure messaging: harlan.matles.1@28513.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1164423604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 EL CAMINO REAL STE 200",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274110",
            "telephone_number": "650-391-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 EL CAMINO REAL",
            "address_2": "SUITE #200",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274127",
            "telephone_number": "650-391-0500",
            "fax_number": "650-391-0503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATLES",
        "first_name": "HARLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.