Active NPI
Darryn Hiroshi Matsushima, RDMS
- Diagnostic Ultrasound Physician
- Bothell, WA
National Provider Identifier
1255953113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 99187
- Practice address
- 105 167TH PL SW
Bothell, WA 98012-5967 - Phone
- (503) 803-9866
- NPI assigned
- May 14, 2020
- Last updated
- May 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 99187 | WA | Primary |
Addresses
Primary practice location
105 167TH PL SW
Bothell, WA 98012-5967
Mailing address
105 167TH PL SW
Bothell, WA 98012-5967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99187 | WA | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1255953113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 167TH PL SW",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980125967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 167TH PL SW",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980125967",
"telephone_number": "503-803-9866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUSHIMA",
"first_name": "DARRYN",
"middle_name": "HIROSHI",
"credential": "RDMS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "WA",
"license": "99187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.