Individual provider Active NPI

Matthew Alexander Burr, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1164879177
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A171621 Issued in CA
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone
(310) 301-6800
Fax
(310) 794-9035
NPI assigned
May 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X A171621 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-8358

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-5138

Other practice location 1

817 Princeton Ave SW
POB II; Suite 106
Birmingham, AL 35211-1333
Phone (205) 971-1257

Other identifiers 1

IdentifierTypeStateIssuer
011603419OtherVAVIRGINIA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210603000217 CA Practitioner - Diagnostic Radiology 4183995020 Reassigns benefits to 11 organizations
I20221103002907 WA Practitioner - Diagnostic Radiology 4183995020 Reassigns benefits to 3 organizations
I20251217002925 MI Practitioner - Diagnostic Radiology 4183995020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Alabama College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
South Sound Radiologists Inc P SGroup PAC ID 1254229305, 76 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

2131 Elsinore St
Los Angeles, CA 90026-3013
Phone (425) 563-1500

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

3147 Olympic Rd
Fairfield, CA 94534-8327
Phone (425) 563-1500

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171621CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Dec 1, 2024 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Aug 17, 2022 Accepting new patients
Msu Health Care Inc. CurrentSince Dec 1, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Redwood Radiology Group Inc Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 2, 2021 Accepting new patients
Msu Health Care Inc. Body Imaging CurrentSince Dec 1, 2025 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 17, 2022 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 17, 2022 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 17, 2022 Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2024 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 25, 2023 Accepting new patients
Swedish Health Services Body Imaging CurrentSince Jul 30, 2022 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2024 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 5, 2023 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 5, 2023 Accepting new patients
Swedish Health Services CurrentSince Jul 30, 2022 Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 2, 2021 Accepting new patients
Yakima Valley Memorial Physicians Current Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 17, 2022 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164879177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Princeton Ave SW",
            "address_2": "POB II; Suite 106",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111333",
            "country_code": "US",
            "telephone_number": "205-971-1257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURR",
        "first_name": "MATTHEW",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-19",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A171621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE LICENSE",
            "identifier": "011603419",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.