Individual provider Active NPI

Matthew Alan Matsunaga, O.D.

  • Optometrist
  • Torrance, CA
National Provider Identifier
1629470018
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 14897 TLG Issued in CA
Practice address
21712 Hawthorne Blvd
#310-B
Torrance, CA 90503-7028
Phone
(310) 370-0016
NPI assigned
Sep 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 14897 TLG CA Primary

Addresses

Primary practice location

21712 Hawthorne Blvd
#310-B
Torrance, CA 90503-7028

Mailing address

22101 Cathann PL
Torrance, CA 90503-6816
Phone (310) 999-9662

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108001921 CA Practitioner - Optometry 8628391885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4201 Torrance Blvd
Suite 350
Torrance, CA 90503-4573
Phone (310) 316-6726

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 14897 TLGCAMDOptometrist
14897CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwood Optometric Corporation Optometrist CurrentSince Oct 1, 2015 Accepting new patients

Locations

4201 Torrance Blvd
Ste 580
Torrance, CA 90503
Phone (310) 316-6726

4201 Torrance Blvd
Ste 350
Torrance, CA 90503
Phone (310) 540-5494

Organizations & group practices 1

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": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1629470018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22101 CATHANN PL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036816",
            "telephone_number": "310-999-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21712 HAWTHORNE BLVD",
            "address_2": "#310-B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905037028",
            "telephone_number": "310-370-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUNAGA",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 14897 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.