Mika Matsumoto

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

VN290257 Issued in CA

Practice address

5121 Stockdale Hwy Ste 200
Bakersfield, CA 93309-2664

Phone

(661) 473-1500

NPI assigned

Dec 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1487160610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4194 PINEWOOD LAKE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099307",
            "telephone_number": "661-889-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 STOCKDALE HWY STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092664",
            "telephone_number": "661-473-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "MIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN290257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Mathiasen, LVN
• Chirag M Mathukia
• Aniko Katalin Matis, MD
• Biserka Matkovic, MD
• Brandon Spencer Matlock-Pettus
• Mary Elizabeth Matt
• Eman Matta, RPH
• Matters of the Heart Counseling Center
• Matthew M Malerich MD Inc
• William Matthew, PHD

• Licensed Practical Nurse in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.