Active NPI
Ronald Mathiasen, MD
- Otolaryngology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A064829
- Practice address
- 10670 Wexford St
San Diego, CA 92131-3940 - Phone
- (858) 621-4090
- Fax
- (858) 621-4044
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
CA, Otolaryngology
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- Emergency Medicine Physician
- King City, CA
- NPI 1912936766
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of California, San Diego School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sharp Rees-Stealy Medical Group Inc
Practice addresses (Care Compare)
10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002
Hospital & facility affiliations
- Sharp Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 34 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060309000331 | CA | Practitioner - Otolaryngology | 1658388046 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A064829 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Otolaryngology | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Sharp Coronado Hospital and Healthcare Center | Past | Accepting new patients | |
| Hermanson Medical Group a Professional Corporation | Past | Accepting new patients |
Locations
10670 Wexford St
San Diego, CA 92131
Phone (858) 621-4010
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A064829 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10670 Wexford St
San Diego, CA 92131-3940
Mailing address
10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4090
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020045191 | Other | CA | RAILROAD |
| 00A648290 | Medicaid | CA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2013.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1790740629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10670 WEXFORD ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313940",
"telephone_number": "858-621-4090",
"fax_number": "858-621-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10670 WEXFORD ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313940",
"telephone_number": "858-621-4090",
"fax_number": "858-621-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIASEN",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A064829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "020045191",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A648290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.