Individual provider Active NPI

Matthew H. Hart, M.D.

  • Anesthesiology Physician
  • Pasadena, CA
National Provider Identifier
1265545040
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A71211 Issued in CA
Practice address
300 W California Blvd
Pasadena, CA 91105-3097
Phone
(626) 397-5000
Fax
(626) 397-2912
NPI assigned
Aug 16, 2006
Last updated
Dec 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A71211 CA Primary

Addresses

Primary practice location

300 W California Blvd
Pasadena, CA 91105-3097

Mailing address

225 S Lake Ave
Ste. 535
Pasadena, CA 91101-3005
Phone (626) 795-6596

Other identifiers 1

IdentifierTypeStateIssuer
00A712111MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412001513 CA Practitioner - Anesthesiology 7911944848 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Columbia University College of Physicians and Surgeons, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayside Anesthesia Medical GroupGroup PAC ID 2466490560, 47 clinicians

Practice addresses (Care Compare)

1328 22ND St
St Johns Hospital
Santa Monica, CA 90404-2091
Phone (310) 477-2465

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A71211CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Jan 11, 2021 Accepting new patients
Bayside Anesthesia Medical Group CurrentSince Feb 1, 2020 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
Pacific Valley Medical Group Anesthesiology CurrentSince Aug 15, 2008 Accepting new patients

Locations

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

2131 W 3rd St
Los Angeles, CA 90057
Phone (213) 484-5525

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

225 S Lake Ave
Ste 535
Pasadena, CA 91101

333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230076800000",
    "number": "1265545040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S LAKE AVE",
            "address_2": "STE. 535",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013005",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053097",
            "telephone_number": "626-397-5000",
            "fax_number": "626-397-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "MATTHEW",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A71211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A712111",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.