Ian M Matsuura, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G84323 Issued in CA

Practice address

207 Palisades Ave
Santa Monica, CA 90402-2733

Phone

(952) 595-1100

Fax

(614) 294-4903

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ian.matsuura@westgahealth.gadirect.net

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.

• Saint John'S Tower Imaging Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Santa Monica, CA
  • NPI 1356396782
  NPD (past)
• Tower Imaging Medical Group, Inc

  • Diagnostic Radiology Physician
  • Santa Monica, CA
  • NPI 1013962067
  NPD (past)
• UCLA Radiology Medical Group

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1881670248
  NPD (past)
• Hackensack Radiology Group PA

  • Diagnostic Radiology Physician
  • Hackensack, NJ
  • NPI 1306864343
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1447200266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PALISADES AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022733",
            "telephone_number": "952-595-1100",
            "fax_number": "614-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUURA",
        "first_name": "IAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME85147",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G84323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Lorraine Mathews, DO
• Matrix Physical Therapy and Wellness, PC
• Leah Nadette Matson, PH.D.
• Kazuko Traci Matsuda, M.D.
• Jon Stacey Matsunaga, M.D.
• Sandra Mattar, M.S./CCC-SLP
• Matthew Hart, M.D., Corporation
• Matthew Lublin MD Inc
• Carmenia Matthews
• Jennifer Marie Matthews, LCSW

• Diagnostic Radiology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.