Alex Matthew Matavosian, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

558 Saint Charles Dr
Thousand Oaks, CA 91360-3903

Phone

(805) 449-8781

NPI assigned

Jan 16, 2019

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Verdugo Medical Care IncGroup PAC ID 0042562761, 2 clinicians

Elite Urgent Care IncGroup PAC ID 7416495346, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: alex.matavosian.1@31212.direct.athenahealth.com

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.

• Elite Urgent Care Inc

  • Urgent Care Clinic/Center
  • Encino, CA
  • NPI 1255190245
  Medicare reassignment Care Compare group
• Verdugo Medical Care, Inc

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1316426695
  Medicare reassignment Care Compare group
• Ridgeline Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Northridge, CA
  • NPI 1972953230
  Medicare reassignment
• Valley Presbyterian Emergency Medical Associates

  • Emergency Medicine Physician
  • Van Nuys, CA
  • NPI 1033133103
  Medicare reassignment

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

• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1861966418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 WHITEGATE AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910403122",
            "telephone_number": "865-804-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 SAINT CHARLES DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603903",
            "telephone_number": "805-449-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAVOSIAN",
        "first_name": "ALEX",
        "middle_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kelso, PH.,D. Inc
• Jane Maryoung, R.P.T.
• Vandana K Master, D.D.S.
• Tracy K Matalon, MSN, FNP
• Rami Matar, MD
• Tania Mateos
• Lisa Lee Mathis, MD
• John D Matrisciano, MD
• Andrew Kunio Matsunaga, DDS
• Meredith G Matzkin, M.D.

• Physician Assistant in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.