Active NPI
Matthew Louis
- Family Medicine Physician
- Palm Desert, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A154573
- 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, 2021
- 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 | |||
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A154573 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| Leo Tanaka MD Inc | Current | Accepting new patients | |
| First Choice Physician Partners | Family Medicine | Current | Accepting new patients |
| Sasha Salloum MD Inc a Professional Medical Corporation | Current | Accepting new patients | |
| Arch Health Partners, Inc | Family Medicine | Current | Accepting new patients |
| Bradley B Bailey MD and Roger B Schechter MD Inc | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Coachella Valley Care Medical Associates Inc | Family Medicine | Past | Accepting new patients |
| Coachella Valley Care Medical Associates Inc | Family Medicine | Past | 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.
-
dba Palomar Health Medical Group
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
-
dba Restorative Wound Healing and Hyperbaric Medical Group
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- San Diego, CA
- NPI 1831349315
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- La Mesa, CA
- NPI 1497489447
-
dba SS Vascular
- Vascular Surgery Physician
- Chula Vista, CA
- NPI 1578949889
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1558797118
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Family Medicine Physician
- Indio, CA
- NPI 1710325683
-
- Family Medicine Physician
- Indio, CA
- NPI 1811319890
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palomar Medical Center Poway
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
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
- Madelyn E Lorei, PA-C
- Lorena Belen Sarrouf, Licensed Professional Clinical Counselor, a Professional Corporation (Rising Sun Counseling & EMDR)
- Lawrence P. Lorenzi, D.D.S.
- Mariam Lostracco
- Jordan Lynn Loughrin
- Kassandra Ciyanah Loureiro
- Maria C Lowell, RN
- LSZ Home Health Care Inc
- Lace A Lu, PT
- Lingyun Lu
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.