Individual provider Active NPI

Marcia Matika, DPM

  • Foot & Ankle Surgery Podiatrist
  • Manhattan Beach, CA
National Provider Identifier
1679593412
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3497 Issued in CA
Practice address
500 S Sepulveda Blvd
Ste 303
Manhattan Beach, CA 90266-6977
Phone
(310) 530-5729
Fax
(310) 530-5707
NPI assigned
Jul 21, 2006
Last updated
Apr 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E3497 CA Primary

Addresses

Primary practice location

500 S Sepulveda Blvd
Ste 303
Manhattan Beach, CA 90266-6977

Mailing address

500 S Sepulveda Blvd
Ste 303
Manhattan Beach, CA 90266-6977
Phone (310) 530-5729

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
I20111123000445 CA Practitioner - Podiatry 4183898497 Practice locations: Manhattan Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 S Sepulveda Blvd
Manhattan Beach, CA 90266-6977
Phone (310) 318-2900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue118
Removal of nail tissue600
Removal or shaving of skin growth57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1983CAMDFoot & Ankle Surgery Podiatrist
E3497CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Chiropractic Corporation Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Marcia a. Matika DPM, Inc. Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1679593412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD",
            "address_2": "STE 303",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666977",
            "telephone_number": "310-530-5729",
            "fax_number": "310-530-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD",
            "address_2": "STE 303",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666977",
            "telephone_number": "310-530-5729",
            "fax_number": "310-530-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIKA",
        "first_name": "MARCIA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.