Individual provider Active NPI

Matthew Edward Leach, M.D.

  • Otolaryngology Physician
  • Murrieta, CA
National Provider Identifier
1508151580
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
141821 Issued in CA
Practice address
39755 Date St
Murrieta, CA 92563-2007
Phone
(951) 461-0770
NPI assigned
Jun 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 141821 CA Primary

Addresses

Primary practice location

39755 Date St
Murrieta, CA 92563-2007

Mailing address

9834 Genesee Ave
Ste 111
La Jolla, CA 92037-1223
Phone (858) 909-0770

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160916001924 CA Practitioner - Otolaryngology 0749582286 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Wisconsin, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

31469 Rancho Pueblo Rd
Suite 101
Temecula, CA 92592-4834
Phone (951) 303-3718

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
141821CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 22, 2019 Accepting new patients
United Medical Doctors CurrentSince Apr 15, 2019 Accepting new patients
Confermed of California PC CurrentSince Apr 12, 2024 Accepting new patients
Ritvik Mehta, MD Apc Otolaryngology CurrentSince Sep 1, 2016 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 22, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Kern County Hospital Authority CurrentSince Jun 23, 2017 Accepting new patients
Telehealth Specialty Medical Group CurrentSince Jun 6, 2024 Accepting new patients
Kern County Hospital Authority CurrentSince Jun 23, 2017 Accepting new patients
United Medical Doctors CurrentSince Apr 15, 2019 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients
Confermed PC Otolaryngology Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2390 Faraday Ave
Carlsbad, CA 92008
Phone (858) 909-0770

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

9834 Genesee Ave
Ste 111
La Jolla, CA 92037
Phone (858) 909-0500

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

39755 Date St
Murrieta, CA 92563
Phone (951) 461-0770

39755 Date St
Ste 105
Murrieta, CA 92563
Phone (858) 909-0770

40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

5405 Oberlin Dr
Fl 2
San Diego, CA 92121
Phone (858) 279-4221

31170 Temecula Pkwy
Ste 100
Temecula, CA 92592
Phone (951) 698-6090

31469 Rancho Pueblo Rd
Ste 101
Temecula, CA 92592
Phone (951) 303-3718

44605 Avenida de Missiones
Ste 205
Temecula, CA 92592
Phone (951) 404-0911

11 Silver St
Unit 856
Middletown, CT 06457

Interoperability endpoints

  • Direct secure messaging: mleach182006@direct.llu.edu
  • Direct secure messaging: matthew.leach.1@9170.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: telemed2u.mattleach@160918.advancedmd-direct.com
  • Direct secure messaging: mleach31045@scrippshlth.medalliesdirect.net

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1508151580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "STE 111",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-909-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39755 DATE ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632007",
            "telephone_number": "951-461-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "141821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.