Individual provider Active NPI

Matthew Johnson, MD

  • Ophthalmology Physician
  • Westlake Village, CA
National Provider Identifier
1356967863
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A196440 Issued in CA
Practice address
4353 Park Terrace Dr Ste 150
Westlake Village, CA 91361-4639
Phone
(805) 987-5300
Fax
(818) 707-7668
NPI assigned
Jun 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A196440 CA Primary

Addresses

Primary practice location

4353 Park Terrace Dr Ste 150
Westlake Village, CA 91361-4639

Mailing address

4353 Park Terrace Dr Ste 150
Westlake Village, CA 91361-4639
Phone (805) 987-5300

Other practice location 1

1450 San Pablo St
Los Angeles, CA 90033-5331
Phone (323) 865-7785

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
I20240807001223 CA Practitioner - Ophthalmology 3971927849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous Associates Medical GroupGroup PAC ID 5799769584, 17 clinicians
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Suite 380
Los Angeles, CA 90017-4886
Phone (213) 483-8810

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A196440CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina-Vitreous Associates Medical Group PC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2024 Accepting new patients
Usc Care Medical Group, Inc Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9001 Wilshire Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 659-3337

1245 Wilshire Blvd
Ste 380
Los Angeles, CA 90017
Phone (213) 483-8810

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1450 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-6335

1450 San Pablo St
Ste 4400
Los Angeles, CA 90033

File 51006
Los Angeles, CA 90074

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356967863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614639",
            "telephone_number": "805-987-5300",
            "fax_number": "818-707-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614639",
            "telephone_number": "805-987-5300",
            "fax_number": "818-707-7668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 San Pablo St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335331",
            "country_code": "US",
            "telephone_number": "323-865-7785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-20",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A196440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.