Active NPI
Matthew Clinton Mulroy, MD
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- A177750
- Practice address
- 200 UCLA Medical PLZ Ste 365a
Los Angeles, CA 90095-1687 - Phone
- (310) 206-8272
- NPI assigned
- Mar 19, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A177750 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 365a
Los Angeles, CA 90095-1687
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Other practice location 1
757 Westwood Plz
Los Angeles, CA 90095-7419
Phone (310) 267-7849
Other practice location 2
10945 Le Conte Ave Ste 2339
Los Angeles, CA 90095-1687
Phone (310) 825-8253
Other practice location 3
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone (818) 891-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- University of Southern California Keck School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Medical Plaza
Los Angeles, CA 90095-0001
100 Medical PLZ
Suite 310
Los Angeles, CA 90095-0001
Phone (310) 825-7922
1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone (310) 319-4700
200 Medical Plaza
Los Angeles, CA 90095-0001
200 Medical PLZ
Los Angeles, CA 90095-0001
200 UCLA Medical PLZ
Suite 165 34
Los Angeles, CA 90095-0001
Phone (310) 824-8403
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
26585 Agoura Rd
Suite 360
Calabasas, CA 91302-1958
Phone (818) 592-2320
3445 Pacific Coast Hwy
Suite 100
Torrance, CA 90505-6659
Phone (310) 542-6333
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 267-9643
900 Weyburn Place
Suite 14 171
Los Angeles, CA 90095-0001
Phone (310) 825-8173
Hospital & facility affiliations
- Accentcare UCLA Health, LLC
- Home Health Care Dynasty
- Reliance Home Health Care, Inc.
- Intra Care Home Health Providers, Inc
- Sunny Days Home Care, Inc.
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- UCLA West Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A177750 | CA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Geriatric Medicine | Current | Accepting new patients |
Locations
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
200 UCLA Medical Plz
Ste 365A
Los Angeles, CA 90095
Phone (310) 206-8272
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 55737
Los Angeles, CA 90074
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
Interoperability endpoints
- mmulroy696401@direct.uclahealth.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
Geriatric Medicine
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Hills, CA
- NPI 1710416136
-
- Home Health Agency
- Sherman Oaks, CA
- NPI 1316000854
-
- Home Health Agency
- Los Angeles, CA
- NPI 1700871233
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- West Hills, CA
- NPI 1801653969
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
-
- Home Health Agency
- Glendale, CA
- NPI 1881019545
-
- Home Health Agency
- Burbank, CA
- NPI 1013522085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1295294098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 365A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951687",
"telephone_number": "310-206-8272"
}
],
"practiceLocations": [
{
"address_1": "757 Westwood Plz",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900957419",
"country_code": "US",
"telephone_number": "310-267-7849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10945 Le Conte Ave Ste 2339",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900951687",
"country_code": "US",
"telephone_number": "310-825-8253",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11301 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900731003",
"country_code": "US",
"telephone_number": "818-891-7711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULROY",
"first_name": "MATTHEW",
"middle_name": "CLINTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A177750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.