Matthew Root DO Inc

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

MATTHEW ROOT DO INC

Practice address

13320 Riverside Dr Ste 214
Sherman Oaks, CA 91423-2512

Phone

(818) 621-0019

Fax

(818) 671-5556

NPI assigned

Aug 30, 2018

Organization subpart

No

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

Authorized official

Name

Matthew S Root, D.O.NPI 1043593098

Title

Owner

Phone

(818) 621-0019

Specialties & licenses 2

Addresses

Other names 1

• Innovative Pain and Spine Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Matthew Root DO Inc

  • Ambulatory Surgical Clinic/Center
  • Sherman Oaks, CA
  • NPI 1417877275
  NPPES parent name

Practitioners 1

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

• Matthew S Root, DO

  • Interventional Pain Medicine Physician
  • Sherman Oaks, CA
  • NPI 1043593098

  CA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1760964340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 RIVERSIDE DR STE 214",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232512",
            "telephone_number": "818-621-0019",
            "fax_number": "818-671-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13320 RIVERSIDE DR STE 214",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232512",
            "telephone_number": "818-621-0019",
            "fax_number": "818-671-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW ROOT DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-621-0019",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Pain and Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Carlos Matos Wong, DDS
• Shannon Kay Matricaria, MSW
• Jennifer Matsumura, LCSW
• Michael Alan Mattes, DPM, PHARM.D.
• Matthew Root DO Inc
• Mavmin Home Health Inc
• Max Maisel PHD, a Psychological Corporation
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.

• All providers in Sherman Oaks, CA
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.