Individual provider Active NPI

Matthew Louis

  • Family Medicine Physician
  • Palm Desert, CA
National Provider Identifier
1316395726
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A154573 Issued in CA
Practice address
41865 Boardwalk Ste 103
Palm Desert, CA 92211-9031
Phone
(760) 391-5151
Fax
(760) 391-5159
NPI assigned
May 25, 2016
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A154573 CA Primary

Addresses

Primary practice location

41865 Boardwalk Ste 103
Palm Desert, CA 92211-9031

Mailing address

81767 Dr Carreon Blvd Ste 201
Indio, CA 92201-5599
Phone (760) 775-4181

Other practice location 1

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

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
I20191107003380 CA Practitioner - Family Practice 9739511015 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians
Bradley B Bailey MD and Roger B Schechter MD IncGroup PAC ID 6204987407, 6 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154573CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Leo Tanaka MD Inc CurrentSince Jul 17, 2023 Accepting new patients
First Choice Physician Partners Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Sasha Salloum MD Inc a Professional Medical Corporation CurrentSince May 1, 2022 Accepting new patients
Arch Health Partners, Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Bradley B Bailey MD and Roger B Schechter MD Inc CurrentSince Jan 1, 2022 Accepting new patients
First Choice Physician Partners CurrentSince Oct 1, 2019 Accepting new patients
Coachella Valley Care Medical Associates Inc Family Medicine PastSince Nov 17, 2019 Accepting new patients
Coachella Valley Care Medical Associates Inc Family Medicine PastSince Nov 17, 2019 Accepting new patients

Locations

1111 Broadway
Ste 305
Chula Vista, CA 91911
Phone (619) 425-8212

1045 E Pennsylvania Ave
Escondido, CA 92025
Phone (760) 741-5466

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

555 E Tachevah Dr
Ste 2E107
Palm Springs, CA 92262
Phone (760) 561-7373

15611 Pomerado Rd
Ste 200
Poway, CA 92064
Phone (858) 613-4755

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

10089 Willow Creek Rd
Ste 200
San Diego, CA 92131
Phone (858) 621-1514

9600 Cuyamaca St
Ste 201
Santee, CA 92071

Organizations & group practices 9

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 2

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1316395726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD STE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015599",
            "telephone_number": "760-775-4181",
            "fax_number": "760-775-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41865 BOARDWALK STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119031",
            "telephone_number": "760-391-5151",
            "fax_number": "760-391-5159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N Indian Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624872",
            "country_code": "US",
            "telephone_number": "760-323-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A154573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.