Active NPI
Lisa Erin Matos, M.D.
- Anesthesiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 295608
- Practice address
- 1240 N Mission Rd
Los Angeles, CA 90033 - Phone
- (323) 226-3416
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A82625 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | A82625 | CA | |
| Anesthesiology Physician | 207L00000X | 295608 | NY | Primary |
Addresses
Primary practice location
1240 N Mission Rd
Los Angeles, CA 90033
Mailing address
4179 Sunnyslope Ave Apt 102
Sherman Oaks, CA 91423-4360
Phone (818) 430-3228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3663 S Miami Ave
Miami, FL 33133-4253
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A82625 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Quality Care Anesthesia Consultants Inc | Anesthesiology | Current | Accepting new patients |
| Brotman Medical Anesthesia Group | Anesthesiology | Current | Accepting new patients |
Locations
8641 Wilshire Blvd
Ste 201
Beverly Hills, CA 90211
Phone (310) 289-8600
5700 San Fernando Rd
Glendale, CA 91202
Phone (818) 637-7766
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.
-
- Anesthesiology Physician
- Miami, FL
- NPI 1104248699
-
- Anesthesiology Physician
- Woodland Hills, CA
- NPI 1154378362
-
- Anesthesiology Physician
- Glendale, CA
- NPI 1427470053
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Plantation General Hospital
- General Acute Care Hospital
- Plantation, FL
- NPI 1144274317
-
dba HCA Florida Mercy Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1023387479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1245491869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4179 SUNNYSLOPE AVE APT 102",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914234360",
"telephone_number": "818-430-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 N MISSION RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-226-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "LISA",
"middle_name": "ERIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A82625",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A82625",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "295608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.