Organization Active NPI

Marcia a. Matika DPM, Inc.

  • Podiatric Clinic/Center
  • Manhattan Beach, CA
National Provider Identifier
1760833685
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
E3497 Issued in CA
Legal business name
MARCIA A. MATIKA DPM, INC.
Practice address
500 S Sepulveda Blvd
Suite 303
Manhattan Beach, CA 90266-6948
Phone
(310) 318-2900
Fax
(310) 318-5600
NPI assigned
Jun 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Dr. Marcia Ann Matika, D.P.M.NPI 1679593412
Title
Doctor
Phone
(310) 318-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X E3497 CA Primary

Addresses

Primary practice location

500 S Sepulveda Blvd
Suite 303
Manhattan Beach, CA 90266-6948

Mailing address

500 S Sepulveda Blvd
Suite 303
Manhattan Beach, CA 90266-6948
Phone (310) 318-2900

National Provider Directory

National Provider Directory

Locations

500 S Sepulveda Blvd
Ste 303
Manhattan Beach, CA 90266
Phone (310) 318-2900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1760833685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD",
            "address_2": "SUITE 303",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666948",
            "telephone_number": "310-318-2900",
            "fax_number": "310-318-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD",
            "address_2": "SUITE 303",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666948",
            "telephone_number": "310-318-2900",
            "fax_number": "310-318-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA A. MATIKA DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "MATIKA",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-318-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E3497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.