Individual provider Active NPI

Maria Aya Matsumoto, M.D.

  • Diagnostic Radiology Physician
  • San Jose, CA
National Provider Identifier
1609812916
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G61382 Issued in CA
Practice address
2281 Paragon Dr
San Jose, CA 95131-1307
Phone
(408) 961-2649
Fax
(408) 244-6596
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G61382 CA
Diagnostic Radiology Physician 2085R0202X G61382 CA Primary

Addresses

Primary practice location

2281 Paragon Dr
San Jose, CA 95131-1307

Mailing address

2281 Paragon Dr
San Jose, CA 95131-1307
Phone (408) 244-2100

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
I20040429001457 CA Practitioner - Diagnostic Radiology 2860395662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Geisel School of Medicine at Dartmouth, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Radiology Medical Associates IncGroup PAC ID 8022911809, 27 clinicians

Practice addresses (Care Compare)

125 Ciro Ave
San Jose, CA 95128-1671
Phone (408) 297-4591

2581 Samaritan Dr
San Jose, CA 95124-4112

340 Dardanelli LN
Suite 11a
Los Gatos, CA 95032-1418
Phone (408) 866-7131

696 W El Camino Real
Sunnyvale, CA 94087-1211
Phone (650) 967-1331

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
85
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61382CAMDClinical Social Worker
G61382CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Radiology Medical Associates, Inc. CurrentSince Jul 15, 1996 Accepting new patients
Valley Radiologist Medical Associates Diagnostic Radiology Past Accepting new patients

Locations

340 Dardanelli Ln
Ste 11A
Los Gatos, CA 95032
Phone (408) 248-6912

801 Brewster Ave
Ste 125
Redwood City, CA 94063
Phone (415) 368-1302

2281 Paragon Dr
San Jose, CA 95131
Phone (408) 244-2100

2585 Samaritan Dr
Ste 103
San Jose, CA 95124
Phone (408) 356-1104

2581 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 358-6881

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1609812916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 PARAGON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311307",
            "telephone_number": "408-244-2100",
            "fax_number": "408-244-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 PARAGON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311307",
            "telephone_number": "408-961-2649",
            "fax_number": "408-244-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "MARIA",
        "middle_name": "AYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G61382",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G61382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.