Organization Active NPI

Lawrence H Matt MD Inc

  • Medical Specialty Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1255511242
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A43801 Issued in CA
Legal business name
LAWRENCE H MATT MD INC
Practice address
1450 10TH St
Suite 202
Santa Monica, CA 90401-2857
Phone
(310) 451-4779
Fax
(310) 393-1665
NPI assigned
Nov 7, 2007
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Dr. Lawrence Harry Matt, M.D.NPI 1326166521
Title
President
Phone
(310) 451-4779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A43801 CA Primary

Addresses

Primary practice location

1450 10TH St
Suite 202
Santa Monica, CA 90401-2857

Mailing address

1450 10TH St
Suite 202
Santa Monica, CA 90401-2857
Phone (310) 451-4779

National Provider Directory

National Provider Directory

Locations

11633 San Vicente Blvd
Ste 106
Los Angeles, CA 90049
Phone (310) 207-1720

1450 10th St
Ste 202
Santa Monica, CA 90401
Phone (310) 451-4779

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1255511242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 10TH ST",
            "address_2": "SUITE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012857",
            "telephone_number": "310-451-4779",
            "fax_number": "310-393-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 10TH ST",
            "address_2": "SUITE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012857",
            "telephone_number": "310-451-4779",
            "fax_number": "310-393-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE H MATT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "MATT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-451-4779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A43801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.