Active NPI
Matthew Steven Kook
- Certified Registered Nurse Anesthetist
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 143030
- Practice address
- 75 W Holly St
Pasadena, CA 91103-3946 - Phone
- (562) 457-9574
- NPI assigned
- Mar 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 844452 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 143030 | CA | Primary |
Addresses
Primary practice location
75 W Holly St
Pasadena, CA 91103-3946
Mailing address
75 W Holly St
Pasadena, CA 91103-3946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 S Central Ave
Glendale, CA 91204-2508
Phone (818) 502-1900
450 N Roxbury Dr
Suite 600
Beverly Hills, CA 90210-4225
Phone (310) 651-2050
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 75.51
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 844452 | CA | MD | Emergency Registered Nurse |
| 143030 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buena Vista Anesthesia Medical Group | Current | Accepting new patients | |
| Precision Anesthesia Group Inc | Current | Accepting new patients | |
| Orange Coast Anesthesia Inc | Current | Accepting new patients |
Locations
450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 651-2050
9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900
9375 Wilshire Blvd Ste 100
Beverly Hills, CA 90210
450 N Roxbury Dr
Ste 240
Beverly Hills, CA 90210
Phone (310) 651-2040
120 S Spalding Dr
Ste 120
Beverly Hills, CA 90212
Phone (310) 601-3900
501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
1801 W Olympic Blvd
#2100
Pasadena, CA 91199
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
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
- Orange, CA
- NPI 1508138256
-
- Specialist
- Beverly Hills, CA
- NPI 1205253929
-
- Anesthesiology Physician
- Burbank, CA
- NPI 1366462293
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1255033973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 W HOLLY ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 W HOLLY ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033946",
"telephone_number": "562-457-9574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOK",
"first_name": "MATTHEW",
"middle_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-17",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CA",
"license": "844452",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "143030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.