Matian Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7841 Issued in CA

Legal business name

MATIAN MEDICAL CORP

Doing business as

Prime Care Physicians

Practice address

13425 Ventura Blvd
Suite 102
Sherman Oaks, CA 91423-3974

Phone

(818) 995-7784

Fax

(818) 995-7786

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Arash David Matian, D.O.NPI 1558300582

Title

Medical Director, President

Phone

(818) 995-7784

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prime Care Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arash David Matian, D.O.

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1558300582
  Medicare reassignment NPD Authorized official
• Mary Crystal Kasmajian

  • Physician Assistant
  • Alhambra, CA
  • NPI 1760116123
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1356453724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 VENTURA BLVD",
            "address_2": "SUITE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233974",
            "telephone_number": "818-995-7784",
            "fax_number": "818-995-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 VENTURA BLVD",
            "address_2": "SUITE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233974",
            "telephone_number": "818-995-7784",
            "fax_number": "818-995-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATIAN MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "MATIAN",
        "authorized_official_first_name": "ARASH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, PRESIDENT",
        "authorized_official_telephone_number": "818-995-7784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00AX78410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Care Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Richard Masters
• John Matchett, DDS
• William Foster Matchett, M.D.
• Nicole Rachel Mathew, PA-C
• Betty Jean Mathis, PHD
• Arash David Matian, D.O.
• Alexander Carlos Matos Wong, DDS
• Shannon Kay Matricaria, MSW
• Jennifer Matsumura, LCSW
• Michael Alan Mattes, DPM, PHARM.D.

• Family Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.