Individual provider Active NPI

Amy Haruko Matayoshi, M.D.

  • Nephrology Physician
  • Oceanside, CA
National Provider Identifier
1417921982
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A60790 Issued in CA
Practice address
3300 Vista Way
Suite B
Oceanside, CA 92056-3752
Phone
(760) 967-9900
Fax
(760) 967-6769
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A60790 CA Primary

Addresses

Primary practice location

3300 Vista Way
Suite B
Oceanside, CA 92056-3752

Mailing address

9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone (858) 810-0000

Other identifiers 3

IdentifierTypeStateIssuer
A60780OtherCACA LICENSE
CA139681OtherCANO. CALIFORNIA PTAN
CB226292OtherCASO. CALIFORNIA PTAN

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
I20110912000124 CA Practitioner - NephrologyPractitioner - Internal Medicine 8224209820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balboa Nephrology Medical Group IncGroup PAC ID 9638164015, 78 clinicians

Practice addresses (Care Compare)

3300 Vista Way
Suite B
Oceanside, CA 92056-3633
Phone (760) 967-9900

8885 Rio San Diego Dr
Suite 212
San Diego, CA 92108-1626
Phone (619) 299-2350

Hospital & facility affiliations

  • Fresenius Medical Care North Coast Kidney Center Dialysis facility, Oceanside, CA, CCN 052708
  • Fresenius Medical Care Buena Creek Dialysis facility, Vista, CA, CCN 052842
  • Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60790CAMDNephrology Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Balboa Nephrology Medical Group, Inc. Nephrology CurrentSince Jan 1, 2015 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Jan 1, 2015 Accepting new patients
Scripps Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

737 W Hobsonway
Blythe, CA 92225
Phone (760) 922-4415

320 Santa Fe Dr
Ste 212
Encinitas, CA 92024
Phone (760) 452-3340

631 E Grand Ave
Escondido, CA 92025
Phone (760) 294-1660

4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000

3300 Vista Way
Ste B
Oceanside, CA 92056
Phone (760) 967-9569

9610 Granite Ridge Dr
Ste B
San Diego, CA 92123
Phone (858) 499-1900

9373 Hazard Way
Ste 200
San Diego, CA 92123
Phone (858) 810-8000

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amatayoshi31808@scrippshlth.medalliesdirect.net
  • Direct secure messaging: amatayoshi10436@direct.acumenmd.com

Organizations & group practices 5

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1417921982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 HAZARD WAY STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231226",
            "telephone_number": "858-810-0000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 VISTA WAY",
            "address_2": "SUITE B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563752",
            "telephone_number": "760-967-9900",
            "fax_number": "760-967-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAYOSHI",
        "first_name": "AMY",
        "middle_name": "HARUKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A60790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A60780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO. CALIFORNIA PTAN",
            "identifier": "CA139681",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SO. CALIFORNIA PTAN",
            "identifier": "CB226292",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.