Individual provider Active NPI

Matthew Blake Tash, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1386882181
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A121611 Issued in CA
Practice address
3943 Veselich Ave Apt 175
Los Angeles, CA 90039-1439
Phone
(818) 917-6091
NPI assigned
Feb 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X A121611 CA
Anesthesiology Physician 207L00000X A121611 CA Primary

Addresses

Primary practice location

3943 Veselich Ave Apt 175
Los Angeles, CA 90039-1439

Mailing address

3943 Veselich Ave Apt 175
Los Angeles, CA 90039-1439
Phone (818) 917-6091

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20130726000355 CA Practitioner - Anesthesiology 2466693809 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Tulane University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Anesthesia ServicesGroup PAC ID 2860684248, 4 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

400 S Sepulveda Blvd
Suite 200
Manhattan Beach, CA 90266-6876
Phone (310) 546-3461

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Sep 8, 2015 Accepting new patients
Westside Anesthesia Services Anesthesiology CurrentSince Feb 1, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Cedars-Sinai Medical Care Foundation Anesthesiology CurrentSince Sep 8, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 8, 2015 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Sep 8, 2025 Accepting new patients
Brotman Medical Anesthesia Group Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Sep 1, 2013 Accepting new patients
Valley Children'S Medical Group Past Accepting new patients
Valley Children'S Hospital Past Accepting new patients

Locations (25 of 28)

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

120 S Spalding Dr
Ste 402
Beverly Hills, CA 90212
Phone (310) 260-1400

8641 Wilshire Blvd
Ste 201
Beverly Hills, CA 90211
Phone (310) 289-8600

8670 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 275-1646

8920 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 360-9119

120 S Spalding Dr
Ste 205
Beverly Hills, CA 90212
Phone (310) 273-8002

8929 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 854-0283

150 N Robertson Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 424-9507

120 S Spalding Dr
Ste 200
Beverly Hills, CA 90212
Phone (310) 550-7766

120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755

16255 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 783-2340

16311 Ventura Blvd
Ste 570
Encino, CA 91436
Phone (805) 969-5500

16501 Ventura Blvd
Ste 103
Encino, CA 91436
Phone (310) 659-6333

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

6000 San Vicente Blvd
Los Angeles, CA 90036
Phone (310) 832-2622

6801 Park Ter
Ste 300
Los Angeles, CA 90045
Phone (310) 655-7200

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8436 W 3rd St
Ste 700
Los Angeles, CA 90048
Phone (310) 274-8228

1200 Rosecrans Ave
Ste 110
Manhattan Beach, CA 90266
Phone (424) 220-4400

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

4551 Glencoe Ave
Ste 145
Marina del Rey, CA 90292
Phone (310) 426-8206

3501 Jamboree Rd
Ste 1200
Newport Beach, CA 92660
Phone (949) 988-7800

393 E Walnut St
Pasadena, CA 91188
Phone (626) 405-7914

3180 Willow Ln
Ste 116
Thousand Oaks, CA 91361
Phone (310) 880-8416

Organizations & group practices 11

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 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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1386882181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 VESELICH AVE APT 175",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391439",
            "telephone_number": "818-917-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 VESELICH AVE APT 175",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391439",
            "telephone_number": "818-917-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASH",
        "first_name": "MATTHEW",
        "middle_name": "BLAKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CA",
            "license": "A121611",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A121611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.