Active NPI
Monica Diana Combs, MD
- Pediatrics Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A157226
- Practice address
- 200 UCLA Medical PLZ Ste 265
Los Angeles, CA 90095-5724 - Phone
- (310) 825-0867
- Fax
- (310) 794-5066
- NPI assigned
- Mar 28, 2017
- Last updated
- Sep 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1013378 | MA | |
| Pediatrics Physician | 208000000X | A157226 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 265
Los Angeles, CA 90095-5724
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-5138
Other practice location 1
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
Other names 1
- Monica Mattes
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Univ of Central Florida, College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10833 Le Conte Ave
Los Angeles, CA 90095-3075
10833 Leconte Ave
Los Angeles, CA 90095-3075
Phone (310) 825-9124
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-8021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157226 | CA | MD | Pediatrics Physician |
| 1013378 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Pediatric Associates, Inc | Pediatrics | Current | Accepting new patients |
| UC Regents | Pediatrics | Current | Accepting new patients |
| UCLA Medical Group | Pediatrics | Past | Accepting new patients |
Locations
10833 Le Conte Ave
#12311
Los Angeles, CA 90095
Phone (310) 825-9124
200 UCLA Medical Plz
Ste 265
Los Angeles, CA 90095
Phone (310) 206-2429
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
892 Aerovista Pl
Ste 210
San Luis Obispo, CA 93401
Phone (805) 549-8023
1260 15th St
Ste 1002
Santa Monica, CA 90404
Phone (424) 259-8570
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
Interoperability endpoints
- mcombs36949@direct.bostonchildrens.org
Organizations & group practices 3
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 UCLA Dept of Pediatric Grp Practice
- Pediatrics Physician
- Los Angeles, CA
- NPI 1982667663
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1508398785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 265",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900955724",
"telephone_number": "310-825-0867",
"fax_number": "310-794-5066"
}
],
"practiceLocations": [
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155724",
"country_code": "US",
"telephone_number": "617-355-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMBS",
"first_name": "MONICA",
"middle_name": "DIANA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "1013378",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A157226",
"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": "9400 Rosecrans Ave",
"city": "Bellflower",
"state": "CA",
"country_code": "US",
"postal_code": "907062246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MONICA",
"last_name": "MATTES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.