Caitlin Matsumoto, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

299 W Foothill Blvd Ste 209
Upland, CA 91786-3806

Phone

(909) 982-4000

NPI assigned

Sep 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sierra Hematology and Oncology Medical CentersGroup PAC ID 9032102520, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
• Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: caitlin.matsumoto@sierrahemonc.ikm.direct-ci.com

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.

• Sierra Hematology and Oncology Medical Centers

  • Hematology & Oncology Physician
  • Carmichael, CA
  • NPI 1992796759
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1467560599
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1487694857
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Carmichael, CA
  • NPI 1972541498
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1295104602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD STE 209",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863806",
            "telephone_number": "909-982-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD STE 209",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863806",
            "telephone_number": "909-982-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "CAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lani Sugita Martinez, DPT
• Monique Idalis Martinez
• Raymond Martinez III
• Deryk Mason II, LVN
• Kristina Starr Matlock
• Elsa Matsumoto, LCSW
• Matthew J Nykiel MD, Inc
• Jennipearl Anne Matzke
• Maulin Home Care Services,Iinc.
• Max V. Soliguen, M.D., Inc. Dba Kids First Pediatrics

• Medical Physician Assistant in Upland, CA
• Providers in Upland, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.