Matthew J Budoff, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Torrance, CA
NPI 1811967433 · NPPES record last updated Feb 24, 2010
Key facts
- NPI
- 1811967433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- G72496 (CA)
- Practice address
- 21840 Normandie Ave
Ste. 700
Torrance, CA 90502-2047 - Phone
- (310) 222-5101
- Fax
- (310) 320-5463
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 48
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- George Washington University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prohealth Partners, a Medical Group
United Medical Imaging Healthcare Inc
Clear Heart-Loveland LLC
Prairie Du Chien Memorial Hospital Association Inc
Practice addresses (Care Compare)
1124 W Carson St
Torrance, CA 90502-2006
Phone (310) 222-2773
26522 La Alameda
Suite 170190
Mission Viejo, CA 92691-6330
Phone (949) 535-2100
3553 Clydesdale Pkwy
Suite 104
Loveland, CO 80538-7625
Phone (970) 900-1707
37868 US Hwy 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000
Hospital & facility affiliations
- Crossing Rivers Health Medical Center
- Lac/Harbor-UCLA Med Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CA, WI, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050822000682 | CA | Practitioner - Internal Medicine |
7810946407 | Reassigns benefits to 4 organizations |
| I20180821001516 | WI | Practitioner - Cardiovascular Disease (Cardiology) | 7810946407 | Reassigns benefits to 2 organizations |
| I20240712001446 | CO | Practitioner - Cardiovascular Disease (Cardiology) | 7810946407 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72496 | CA | MD | Social Worker |
| G72496 | CA | MD | Cardiovascular Disease Physician |
Practice roles (43 of 44)
Locations (25 of 48)
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
1801 W Romneya Dr
Ste 104
Anaheim, CA 92801
Phone (714) 678-4000
10230 Artesia Blvd
Ste 100
Bellflower, CA 90706
Phone (562) 461-2585
380 W Central Ave
Ste 210
Brea, CA 92821
Phone (714) 482-2121
6131 Orangethorpe Ave
Ste 130
Buena Park, CA 90620
Phone (714) 522-2077
11411 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 869-9192
525 E Main St
El Cajon, CA 92020
Phone (619) 334-3787
11160 Warner Ave
Ste 105
Fountain Vly, CA 92708
Phone (714) 619-7500
12665 Garden Grove Blvd
Ste 103
Garden Grove, CA 92843
Phone (714) 620-8200
1141 W Redondo Beach Blvd
Ste 105
Gardena, CA 90247
Phone (310) 436-1730
1141 W Redondo Beach Blvd
Ste 307
Gardena, CA 90247
Phone (310) 715-6100
624 S Central Ave
Glendale, CA 91204
Phone (818) 241-3369
16161 Gothard St
Ste C
Huntington Beach, CA 92647
Phone (714) 843-6255
110 S La Brea Ave
Ste 150
Inglewood, CA 90301
Phone (310) 671-6000
15825 Laguna Canyon Rd
Ste 101
Irvine, CA 92618
Phone (949) 777-9000
1040 Elm Ave
Ste 102
Long Beach, CA 90813
Phone (562) 285-1000
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
701 E 28th St
Ste 318
Long Beach, CA 90806
Phone (562) 290-8888
300 Redondo Ave
#B
Long Beach, CA 90814
3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546
2080 Century Park E
Ste 104
Los Angeles, CA 90067
Phone (310) 432-8000
1127 Wilshire Blvd
Ste 100
Los Angeles, CA 90017
Phone (213) 202-5785
3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814
1127 Wilshire Blvd
Ste 202
Los Angeles, CA 90017
Phone (213) 223-5050
4916 Whittier Blvd
Los Angeles, CA 90022
Phone (213) 596-8100
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G72496 | CA | Yes |
Addresses
Primary practice location
21840 Normandie Ave
Ste. 700
Torrance, CA 90502-2047
Mailing address
21840 Normandie Ave
Ste. 700
Torrance, CA 90502-2047
Phone (310) 222-5101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G724960 | Medicaid | CA |
NPI Registry JSON
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1811967433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21840 NORMANDIE AVE",
"address_2": "STE. 700",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022047",
"telephone_number": "310-222-5101",
"fax_number": "310-782-9652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21840 NORMANDIE AVE",
"address_2": "STE. 700",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022047",
"telephone_number": "310-222-5101",
"fax_number": "310-320-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDOFF",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G72496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G724960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
- Cynthia Renee Bryant
- Edward George Buchsbaum
- Danika Kristine Bucka
- April L. Buckalew
- Yemaina Ortega Buddhasiri
- Noelle Gilson Budrovich
- Angela Bueno
- Ashley Bueno
- Eduardo Ivan Bueno
- Christine Buford
All providers in Torrance, CA · Cardiovascular Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.