Individual provider Active NPI

Matthew A Zeller, D.O.

  • Family Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1700970332
Registry record updated Dec 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8269 Issued in CA
Practice address
25982 Pala
Suite 180
Mission Viejo, CA 92691-6719
Phone
(949) 600-8990
Fax
(949) 600-8998
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8269 CA Primary

Addresses

Primary practice location

25982 Pala
Suite 180
Mission Viejo, CA 92691-6719

Mailing address

25982 Pala
Suite 180
Mission Viejo, CA 92691-6719
Phone (949) 600-8990

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
I20040809001495 CA Practitioner - Family Practice 6608848775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kolvita Family Medical Group, Inc.Group PAC ID 2466472782, 2 clinicians
Portola Medical Services PCGroup PAC ID 4789970773, 22 clinicians

Practice addresses (Care Compare)

25982 Pala
Suite 180
Mission Viejo, CA 92691-6731
Phone (949) 600-8990

29100 Portola Pkwy
Suite B
Lake Forest, CA 92630-8713
Phone (844) 254-6382

Hospital & facility affiliations

  • Acacia HH&P of Southern California, LLC Home health agency, Irvine, CA, CCN 559093
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8269CAMDFamily Medicine Physician
8269CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kolvita Family Medical Group, Inc. Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Portola Medical Services PC Family Medicine CurrentSince Aug 2, 2016 Accepting new patients
Cypress Urgent Care, Inc PastSince Oct 1, 2009 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

6876 Katella Ave
Cypress, CA 90630
Phone (714) 903-8900

9025 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (844) 254-6382

25461 Rancho Niguel Rd
Laguna Niguel, CA 92677
Phone (844) 254-6382

29100 Portola Pkwy
Lake Forest, CA 92630
Phone (844) 254-6382

29100 Portola Pkwy
Ste B
Lake Forest, CA 92630
Phone (844) 254-6382

25982 Pala
Ste 180
Mission Viejo, CA 92691
Phone (949) 600-8990

1511 E Katella Ave
Orange, CA 92867
Phone (844) 254-6382

20635 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 581-9497

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGIAAA/Endpoint/HGIAAA
  • Direct secure messaging: matthew.zeller.1@15000.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197072000000",
    "number": "1700970332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "SUITE 180",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916719",
            "telephone_number": "949-600-8990",
            "fax_number": "949-600-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "SUITE 180",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916719",
            "telephone_number": "949-600-8990",
            "fax_number": "949-600-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.