Matthew Kollefrath, M.D., Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MATTHEW KOLLEFRATH, M.D., INC.

Practice address

435 N Roxbury Dr Ste 300
Beverly Hills, CA 90210-5005

Phone

(310) 550-7421

Fax

(310) 388-0915

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Matthew Kollefrath, MDNPI 1568998516

Title

President/Owner

Phone

(310) 550-7421

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Blake Kollefrath, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1568998516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1730952623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105005",
            "telephone_number": "310-550-7421",
            "fax_number": "310-861-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105005",
            "telephone_number": "310-550-7421",
            "fax_number": "310-388-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW KOLLEFRATH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "KOLLEFRATH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-550-7421",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seniora Mathews, M.D.
• Cynthia M Mathis, M.D.
• Veronica Matlock
• Margaret Matson, PSY.D LMFT
• Kazuko Matsuda, M.D.
• Matthew Parr NP
• Matthew Siedhoff MD PC
• Matthew Thomas Wilson MD Facs
• Joseph Mattina, DC
• Mauer Chiropractic Inc

• Primary Care Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.