Organization Active NPI

Matthew Kilthau MD Medical Corporation

  • Psychiatry Physician
  • San Luis Obispo, CA
National Provider Identifier
1457867053
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MATTHEW KILTHAU MD MEDICAL CORPORATION
Practice address
956 Walnut St Ste 200
San Luis Obispo, CA 93401-1707
Phone
(805) 203-6474
Fax
(877) 219-0743
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Matthew Kilthau, M.D.NPI 1831456151
Title
President
Phone
(805) 203-6474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

956 Walnut St Ste 200
San Luis Obispo, CA 93401-1707

Mailing address

302 Washington St # 150-5243
San Diego, CA 92103-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250506000559 CA Part B Supplier - Clinic/Group Practice 8820353808 Receives reassigned benefits from 1 practitioner
Practice locations: San Luis Obispo, CA

National Provider Directory

National Provider Directory

Locations

4080 Centre St
Ste 105
San Diego, CA 92103
Phone (619) 404-0667

302 Washington St
San Diego, CA 92103
Phone (800) 790-0890

956 Walnut St
Ste 200E
San Luis Obispo, CA 93401
Phone (805) 203-6474

956 Walnut St
Ste 200
Sn Luis Obisp, CA 93401
Phone (805) 203-6474

315 Alberta Dr
Ste 106
Buffalo, NY 14226
Phone (646) 397-9014

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1457867053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST # 150-5243",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032110",
            "fax_number": "877-219-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 WALNUT ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934011707",
            "telephone_number": "805-203-6474",
            "fax_number": "877-219-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW KILTHAU MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "KILTHAU",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-203-6474",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.