Samantha M Matros, M.S.N., F.N.P.-C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95001236 Issued in CA

Practice address

4418 Vineland Ave # 102
Toluca Lake, CA 91602-3457

Phone

(818) 842-7145

Fax

(818) 953-2839

NPI assigned

Feb 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premiere Medical Center of Burbank, IncGroup PAC ID 4688709744, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Premiere Medical Center of Burbank, Inc.

  • Internal Medicine Physician
  • Toluca Lake, CA
  • NPI 1831329218
  Medicare reassignment Care Compare group NPD
• Providence Health System - Southern California

  • Psychiatric Hospital Unit
  • San Pedro, CA
  • NPI 1154349371
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)
• Skin and Beauty Center (SBC), Inc.

  • Dermatology Physician
  • Valencia, CA
  • NPI 1316026875
  NPD (past)

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1770974339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE # 102",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-842-7145",
            "fax_number": "818-953-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE # 102",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-842-7145",
            "fax_number": "818-953-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATROS",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S.N., F.N.P.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Robert Lombardo
• Aleksandr V Lukoff, CMI, CORECHI
• Minh Q Mach, M.D.
• Aida Mahfood, PA-C
• Michael D. Marsh, M.D.
• Ami Matsumoto, L.AC.
• Med Life Care Hospice Inc
• Angelica Menchaca, FNP-C
• Moushumi Ghose, MFT & Associates, Inc.
• Mulholland Physical Therapy

• Family Nurse Practitioner in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.