Carly Matsukuma, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95031017 Issued in CA

Practice address

6301 3Rd St
San Francisco, CA 94124-3501

Phone

(415) 339-8813

Fax

(415) 339-8814

NPI assigned

Jun 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Marin City Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sausalito, CA
  • NPI 1285804948
  Medicare reassignment NPD
• Marin City Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sausalito, CA
  • NPI 1902681489
  NPD

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1295578359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PHILLIPS DR",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651172",
            "telephone_number": "415-339-8813",
            "fax_number": "415-339-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 3RD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243501",
            "telephone_number": "415-339-8813",
            "fax_number": "415-339-8814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Dore St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941033828",
            "country_code": "US",
            "telephone_number": "415-861-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATSUKUMA",
        "first_name": "CARLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031017",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95296515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Matos, MA
• Mats F. Hagstrom, MD, Inc.
• Jared Hitoshi Matsuda
• Miyako Matsudaira
• Amanda Matsuhara, DDS
• Mayuka Matsumoto, PHARM.D
• Susan M. Matsumura, M.S.
• Brian Toshiro Matsuno, PHARMD.
• Steven Matsuoka
• Aya Matsushima, NP

• Family Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.