Individual provider Active NPI

Matthew Clayson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendora, CA
National Provider Identifier
1245898279
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6197 Issued in CA
Practice address
412 W Carroll Ave Ste 107
Glendora, CA 91741-4708
Phone
(626) 914-4890
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD473 NM
Foot & Ankle Surgery Podiatrist 213ES0103X E6197 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

412 W Carroll Ave Ste 107
Glendora, CA 91741-4708

Mailing address

412 W Carroll Ave Ste 107
Glendora, CA 91741-4708
Phone (626) 914-4890

Other practice location 1

1135 S Sunset Ave Ste 200
West Covina, CA 91790-3964
Phone (626) 918-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220801003084 NM Practitioner - Podiatry 7012399470 Reassigns benefits to 1 organization
I20260626001230 CA Practitioner - Podiatry 7012399470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanate Health Medical Care FoundationGroup PAC ID 9830544980, 85 clinicians
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

Practice addresses (Care Compare)

1135 S Sunset Ave
Suite 200
West Covina, CA 91790-3964
Phone (626) 918-6655

1608 7TH St
Suite B
Las Vegas, NM 87701-5177
Phone (505) 355-2766

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.91 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue69
Removal of skin lesions19
Removal of nail tissue473
Removal or shaving of skin growth104
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD473NMMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan K Anderson D P M P C Podiatrist CurrentSince Jun 24, 2022 Accepting new patients
Emanate Health Medical Group Past Accepting new patients

Locations

1300 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 298-7666

700 Lomas Blvd NE
Albuquerque, NM 87102
Phone (505) 242-1711

8008 Menaul Blvd NE
Albuquerque, NM 87110
Phone (206) 703-2204

511 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 225-7091

105 Mills Ave
Ste 100
Las Vegas, NM 87701
Phone (505) 425-3313

1608 7th St
Ste B
Las Vegas, NM 87701
Phone (505) 355-2766

3917 West Rd
Ste 156
Los Alamos, NM 87544
Phone (505) 365-1503

2207 Golf Course Rd SE
Ste A
Rio Rancho, NM 87124
Phone (505) 896-1500

1650 Hospital Dr
Santa Fe, NM 87505
Phone (505) 660-0743

665 Harkle Rd
Santa Fe, NM 87505
Phone (505) 983-7393

1650 Hospital Dr
Ste 800
Santa Fe, NM 87505
Phone (505) 395-3000

1650 Hospital Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 982-4276

Interoperability endpoints

  • Direct secure messaging: footandanklespecialists.matthewclayson@147936.advancedmd-direct.com
  • Direct secure messaging: qpo3782@yourcarecommunity.org

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.

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1245898279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE STE 107",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414708",
            "telephone_number": "626-914-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE STE 107",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414708",
            "telephone_number": "626-914-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 S Sunset Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903964",
            "country_code": "US",
            "telephone_number": "626-918-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYSON",
        "first_name": "MATTHEW",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "POD473",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6197",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.