Matthew Bart Luxenberg, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G61964 Issued in CA

Practice address

3801 Katella Ave
Suite 101
Los Alamitos, CA 90720-3338

Phone

(562) 598-8593

Fax

(562) 594-0877

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Dermatology

Education

University of California, Geffen School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alamitos Dermatological Medical Clinic a Professional CorpGroup PAC ID 3971593542, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80 of 100Reported as group

Quality

60

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Tustin, CA
  • NPI 1891986204
  Medicare reassignment Care Compare group
• Alamitos Dermatological Medical Clinic, Inc

  dba Coastal Dermatology and Plastic Surgery

  • Specialist
  • Huntington Beach, CA
  • NPI 1588911549
  Authorized official Same address or phone
• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Los Alamitos, CA
  • NPI 1750509444
  NPD
• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Mission Viejo, CA
  • NPI 1801087218
  NPD
• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Huntington Beach, CA
  • NPI 1811188212
  NPD
• Los Alamitos Medical Center, Inc.

  dba Los Alamitos Medical Center

  • Psychiatric Hospital Unit
  • Los Alamitos, CA
  • NPI 1497780084
  NPD (past)
• Orange County Global Medical Center, Inc

  dba Orange County Global Medical Center

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1982697678
  NPD (past)
• St Jude Hospital Inc

  dba Providence St. Jude Medical Center

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548353121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE.",
            "address_2": "SUITE 101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720",
            "telephone_number": "562-598-8593",
            "fax_number": "562-594-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-598-8593",
            "fax_number": "562-594-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUXENBERG",
        "first_name": "MATTHEW",
        "middle_name": "BART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G61964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentino Vaafatu Luafalemana
• Alissa Marie Lukas, M.A.
• Gina M. Lukes, MFT
• Cristopher Lumibao
• Edward Hung Luong, D.M.D.
• Florante E Luzano, MD
• Maredi Ly
• Peter Phong Ly, M.D.
• Iliana Karina Machado
• Alejandra Macias

• Specialist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.