Active NPI
Luke Mattison, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1316372147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32416
- Practice address
- 9225 Venice Blvd
Los Angeles, CA 90034-3324 - Phone
- (310) 838-1600
- NPI assigned
- Sep 11, 2013
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32416 | CA | Primary |
Addresses
Primary practice location
9225 Venice Blvd
Los Angeles, CA 90034-3324
Mailing address
600 E Magnolia Blvd
Apt. #306
Burbank, CA 91501-3601
Phone (818) 433-1404
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 |
|---|---|---|---|
| 32416 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1316372147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E MAGNOLIA BLVD",
"address_2": "APT. #306",
"city": "BURBANK",
"state": "CA",
"postal_code": "915013601",
"telephone_number": "818-433-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343324",
"telephone_number": "310-838-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTISON",
"first_name": "LUKE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-11",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32416",
"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 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.