Individual provider Active NPI

Matthew Bral, D.O.

  • Anesthesiology Physician
  • Northridge, CA
National Provider Identifier
1235559386
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A16262 Issued in CA
Practice address
18300 Roscoe Blvd
Northridge, CA 91325
Phone
(818) 885-8500
Fax
(818) 715-1722
NPI assigned
Apr 16, 2014
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A16262 CA Primary

Addresses

Primary practice location

18300 Roscoe Blvd
Northridge, CA 91325

Mailing address

PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815

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
I20180803001995 CA Practitioner - Anesthesiology 3971809401 Reassigns benefits to 3 organizations
Practice locations: Northridge, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesia Physicians Medical Group IncGroup PAC ID 2961824891, 17 clinicians
Alleviate Medical Associates IncGroup PAC ID 8820455884, 2 clinicians

Practice addresses (Care Compare)

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 885-8500

18330 Roscoe Blvd
Northridge, CA 91325-4105
Phone (747) 224-4004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16262CAMDAnesthesiology Physician
16262CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesia Physicians Medical Group, Inc Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Alleviate Medical Associates Inc. CurrentSince Apr 20, 2023 Accepting new patients
Matthew Bral DO a Professional Medical Corporation Anesthesiology CurrentSince Jan 1, 2019 Accepting new patients

Locations

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

18330 Roscoe Blvd
Northridge, CA 91325
Phone (747) 224-4004

19528 Ventura Blvd
Tarzana, CA 91356
Phone (818) 261-4995

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1235559386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-885-8500",
            "fax_number": "818-715-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAL",
        "first_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A16262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.