Active NPI
Matthew Alan Matsunaga, O.D.
- Optometrist
- Torrance, CA
National Provider Identifier
1629470018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 14897 TLG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 14897 TLG | CA | MD | Optometrist |
| 14897 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwood Optometric Corporation | Optometrist | Current | 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.
-
- Optometrist
- Torrance, CA
- NPI 1548630544
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.