Individual provider Active NPI

Sandi Elledge Matarangas, DPM

  • Podiatrist
  • San Jose, CA
National Provider Identifier
1871600239
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4328 Issued in CA
Practice address
227 N Jackson Ave
San Jose, CA 95116-1603
Phone
(408) 871-3400
Fax
(408) 871-5217
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4328 CA
Podiatrist 213E00000X E4328 CA Primary

Addresses

Primary practice location

227 N Jackson Ave
San Jose, CA 95116-1603

Mailing address

227 N Jackson Ave
San Jose, CA 95116-1603
Phone (408) 871-3200

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000710 CA Practitioner - Podiatry 6507992807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4070

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as subgroup
Quality
87.84
Promoting interoperability
100
Improvement activities
40
Cost
76.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of nail tissue350
Removal or shaving of skin growth112
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4328CAMDFoot & Ankle Surgery Podiatrist
4328CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCHS Medical Foundation CurrentSince Apr 1, 2012 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Apr 1, 2019 Accepting new patients
Verity Medical Foundation CurrentSince Apr 1, 2012 Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

9360 N Name Uno
San Francisco, CA 94139
Phone (408) 278-3003

2585 Samaritan Dr
San Jose, CA 95124
Phone (408) 278-3003

227 N Jackson Ave
San Jose, CA 95116
Phone (408) 278-3003

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

227 N Jackson Ave
Ste 100
San Jose, CA 95116
Phone (408) 866-4000

400 Race St
San Jose, CA 95126

Interoperability endpoints

  • Direct secure messaging: smatarangas125850@santaclaravalley.direct-ci.net
  • Direct secure messaging: rgupta49639@icare.elcaminohospital.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1871600239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161603",
            "telephone_number": "408-871-3200",
            "fax_number": "408-871-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161603",
            "telephone_number": "408-871-3400",
            "fax_number": "408-871-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATARANGAS",
        "first_name": "SANDI",
        "middle_name": "ELLEDGE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4328",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.