Active NPI
Eri Matsumoto, NP
- Nurse Practitioner
- Monterey, CA
National Provider Identifier
1568502037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11970
- Practice address
- 2 Upper Ragsdale Dr BLDG a
Monterey, CA 93940 - Phone
- (831) 333-3040
- Fax
- (831) 886-3639
- NPI assigned
- Feb 7, 2007
- Last updated
- May 21, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP11970 | CA | |
| Nurse Practitioner | 363L00000X | 11970 | CA | Primary |
Addresses
Primary practice location
2 Upper Ragsdale Dr BLDG a
Monterey, CA 93940
Mailing address
2 Upper Ragsdale Dr BLDG a
Monterey, CA 93940-5736
Phone (831) 333-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP11970 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1568502037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 UPPER RAGSDALE DR BLDG A",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405736",
"telephone_number": "831-333-3040",
"fax_number": "831-886-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 UPPER RAGSDALE DR BLDG A",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-333-3040",
"fax_number": "831-886-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUMOTO",
"first_name": "ERI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP11970",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "11970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.