Active NPI
Matthew Kilthau, M.D.
- Psychiatry Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A146050
- Practice address
- 956 Walnut St Ste 200E
San Luis Obispo, CA 93401-1707 - Phone
- (805) 203-6474
- Fax
- (877) 219-0743
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A146050 | CA | Primary |
| Psychiatry Physician | 2084P0800X | 276841 | NY |
Addresses
Primary practice location
956 Walnut St Ste 200E
San Luis Obispo, CA 93401-1707
Mailing address
956 Walnut St Ste 200E
San Luis Obispo, CA 93401-1707
Phone (805) 203-6474
Other practice location 1
10333 El Camino Real
Atascadero, CA 93422-5808
Phone (805) 468-2188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146050 | CA | MD | Psychiatry Physician |
| 276841 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Jeffrey Friedman, PHD, Psychologist, Inc | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients |
Locations
10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000
1600 9th St
Ste 150
Sacramento, CA 95814
Phone (916) 651-8811
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
956 Walnut St
Ste 200
Sn Luis Obisp, CA 93401
Phone (805) 203-6474
81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900
100 Pinewild Dr
#2A
Rochester, NY 14606
Phone (585) 368-6700
Organizations & group practices 7
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.
-
- Psychiatry Physician
- San Luis Obispo, CA
- NPI 1457867053
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Mental Health Counselor
- New York City, NY
- NPI 1225195787
-
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
-
- Psychologist
- San Luis Obispo, CA
- NPI 1659382182
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1831456151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 WALNUT ST STE 200E",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934011707",
"telephone_number": "805-203-6474",
"fax_number": "877-219-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 WALNUT ST STE 200E",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934011707",
"telephone_number": "805-203-6474",
"fax_number": "877-219-0743"
}
],
"practiceLocations": [
{
"address_1": "10333 El Camino Real",
"address_purpose": "LOCATION",
"city": "Atascadero",
"state": "CA",
"postal_code": "934225808",
"country_code": "US",
"telephone_number": "805-468-2188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILTHAU",
"first_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A146050",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "276841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.