Samuel I Matsuo Jr., M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A143883 Issued in CA

Practice address

2301 N Vickie CT
Visalia, CA 93291-6580

Phone

(808) 391-6419

NPI assigned

Jul 4, 2012

Last updated

Aug 8, 2016By the provider in NPPES

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Medical College of Wisconsin, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaweah Delta Rehabilitation Hospital Inpatient rehabilitation facility, Visalia, CA, CCN 05T057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visalia Rehab Group Inc

  • Physical Medicine & Rehabilitation Physician
  • Visalia, CA
  • NPI 1669005799
  Medicare reassignment NPD Authorized official
• Kaweah Rehab Group Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Visalia, CA
  • NPI 1770039703
  Medicare reassignment NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Medical Center

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kaweah Delta Health Care District

  dba Kaweah Health Medical Center

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769

  Inpatient rehabilitation facility

  Care Compare affiliation
• Kaweah Delta Health Care District

  dba Kaweah Health Rehabilitation Hospital

  • Rehabilitation Hospital Unit
  • Visalia, CA
  • NPI 1942260799

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1811252950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N VICKIE CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916580",
            "telephone_number": "808-391-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N VICKIE CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916580",
            "telephone_number": "808-391-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUO",
        "first_name": "SAMUEL",
        "middle_name": "I",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-04",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A143883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varsha Mathur, O.D.
• Darren Russell Matik, RN, NP, PHN
• Ukari Matney
• Matrix Behavioral Health, Inc
• Joshua Ramos Matsumoto
• Matthew P Campbell MD Inc
• April Dawn Matthews, FNP
• Nathaniel P Maturo
• John A Mauro, L.C.S.W.
• Melinda Lee Mauro, LCSW

• Physical Medicine & Rehabilitation Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.