Organization Active NPI

Leslie a Matsukawa MD LLC

  • Psychiatry Physician
  • Fort Collins, CO
National Provider Identifier
1326535170
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0057723 Issued in CO
Legal business name
LESLIE A MATSUKAWA MD LLC
Practice address
1136 E Stuart St Ste 4101
Fort Collins, CO 80525-1173
Phone
(808) 291-8141
Fax
(970) 232-9339
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Dr. Leslie A Matsukawa, MD
Title
Dr.
Phone
(808) 291-8141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X DR.0057723 CO Primary

Addresses

Primary practice location

1136 E Stuart St Ste 4101
Fort Collins, CO 80525-1173

Mailing address

2848 Dunbar Ave
Fort Collins, CO 80526-2266
Phone (808) 291-8141

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1326535170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 DUNBAR AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262266",
            "telephone_number": "808-291-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 4101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251173",
            "telephone_number": "808-291-8141",
            "fax_number": "970-232-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE A MATSUKAWA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "MATSUKAWA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "808-291-8141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0057723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.