Shaun Robert Matsumoto, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC30341 Issued in CA

Practice address

1171 N Alta Ave
Dinuba, CA 93618

Phone

(559) 315-5070

Fax

(559) 315-5726

NPI assigned

Dec 20, 2006

Last updated

Feb 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shaun.matsumoto.p4@direct.vht.nextgenshare.com

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

• Dr. Shaun Matsumoto Alta Chiropractic and Wellness Center, Inc.

  • Chiropractor
  • Dinuba, CA
  • NPI 1255820247
  Medicare reassignment NPD Authorized official
• Pack Chiropractice, Inc

  • Chiropractor
  • Fresno, CA
  • NPI 1548319098
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1427112028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 N ALTA AVE",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "93618",
            "telephone_number": "559-315-5070",
            "fax_number": "559-315-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 N ALTA AVE",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "93618",
            "telephone_number": "559-315-5070",
            "fax_number": "559-315-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "SHAUN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "MMM00104M",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maple Medical Supply Inc (Maple Medical Supply)
• Mariaelena Nieto (Dinuba Medical Supply)
• Alison Markley
• Rosanna M Marquez
• Christina Marroquin Martinez
• Wanda F McDonald, FNP
• Bernard Gordon McPherson, NP
• Karmelita Francheska Medina, PT
• Maribel Medina, LPT
• Khusal D Mehta

• Chiropractor in Dinuba, CA
• Providers in Dinuba, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.