Individual provider Active NPI

Matthew Kilthau, M.D.

  • Psychiatry Physician
  • San Luis Obispo, CA
National Provider Identifier
1831456151
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A146050 Issued in CA
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

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150729010002 NY Practitioner - Psychiatry 2062726490 Reassigns benefits to 2 organizations
I20191218002579 CA Practitioner - Psychiatry 2062726490 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A146050CAMDPsychiatry Physician
276841NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Current Accepting new patients
Jeffrey Friedman, PHD, Psychologist, Inc CurrentSince Apr 10, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 24, 2018 Accepting new patients
Department of State Hospitals CurrentSince Oct 19, 2019 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.

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

Verify at the official NPI Registry.