Active NPI
Matthew Ulysses Janssen, M.D..
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- A86129
- Practice address
- 1798 N Garey Ave
Pomona, CA 91767-2918 - Phone
- (909) 865-9600
- NPI assigned
- Sep 3, 2006
- Last updated
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A86129 | CA | |
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | A86129 | CA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | A86129 | CA | Primary |
Addresses
Primary practice location
1798 N Garey Ave
Pomona, CA 91767-2918
Mailing address
2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone (510) 350-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A861290 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://memorialcare.org/fhir/api/FHIR/R4/ | Health Information Exchange (HIE) | MemorialCare Medical Foundation |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- University of California, Geffen School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18035 Brookhurst St
Suite 2100
Fountain Valley, CA 92708-6738
Phone (657) 241-9090
9920 Talbert Ave
Fountain Valley, CA 92708-5153
Phone (714) 378-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 81.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86129 | CA | MD | Hospice and Palliative Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Albion Medical Partners of California West P C | Current | Accepting new patients | |
| Memorialcare Medical Foundation | Hospitalist | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| California Emergency Physicians Medical Group, a Professional Corp | Emergency Medicine | Current | Accepting new patients |
| California Emergency Physicians Medical Group a Professional Corp | Hospice and Palliative Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| California Emergency Physicians Medical Group, a Professional Corp. | Current | Accepting new patients | |
| Anaheim Global Medical Center, Inc | Past | Accepting new patients | |
| Carelon Medical Partners of Kansas, PA | Hospice and Palliative Medicine | Past | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800
751 Medical Center Ct
#1182
Chula Vista, CA 91911
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
201 N Fig St
#1182
Escondido, CA 92025
Phone (760) 746-0303
18035 Brookhurst St
Ste 2100
Fountain Valley, CA 92708
Phone (657) 241-9090
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000
24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
11335 NE 122nd Way
Ste 105
Kirkland, WA 98034
Phone (206) 899-5479
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mjanssen20447@carelonhealth.direct-ci.com
Organizations & group practices 13
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.
-
dba Vituity
- Emergency Medicine Physician
- Truckee, CA
- NPI 1215365218
-
dba CareMore Health Medical Partners West, PC
- Internal Medicine Physician
- Cerritos, CA
- NPI 1073110607
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
OR, WA
-
dba Vituity
- Internal Medicine Physician
- Escondido, CA
- NPI 1871960427
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Terre Haute, IN
- NPI 1255292496
-
dba Anaheim Global Medical Center
- General Acute Care Hospital
- Anaheim, CA
- NPI 1790778488
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1497857023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "SUITE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600",
"fax_number": "510-879-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1798 N GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672918",
"telephone_number": "909-865-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSSEN",
"first_name": "MATTHEW",
"middle_name": "ULYSSES",
"name_prefix": "Dr.",
"credential": "M.D..",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A86129",
"primary": false
},
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A86129",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A86129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A861290",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
"affiliation": "Y",
"endpointDescription": "MemorialCare FHIR Endpoint",
"affiliationName": "MemorialCare Medical Foundation",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "17360 Brookhurst St",
"city": "Fountain Valley",
"state": "CA",
"country_code": "US",
"postal_code": "927083720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.