Active NPI
Matthew Herbert Hom, M.D.
- Hospitalist Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A68160
- Practice address
- 4077 Fifth Ave
San Diego, CA 92103-2105 - Phone
- (619) 686-3935
- Fax
- (619) 686-3874
- NPI assigned
- Jun 2, 2006
- Last updated
- Mar 14, 2019
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A68160 | CA | |
| Hospitalist Physician | 208M00000X | A68160 | CA | Primary |
Addresses
Primary practice location
4077 Fifth Ave
San Diego, CA 92103-2105
Mailing address
PO Box 54118
Los Angeles, CA 90054-0118
Phone (619) 686-3935
Other practice location 1
10666 N Torrey Pines Rd
LA Jolla, CA 92037-1027
Phone (858) 554-6158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A681601 | Medicaid | CA |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Temple University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 Via Carolina
La Jolla, CA 92037-6254
Phone (619) 507-0909
1940 El Cajon Blvd
San Diego, CA 92104-1005
Phone (619) 543-4500
555 Washington St
San Diego, CA 92103-2289
Phone (619) 260-8300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A68160 | CA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Hospitalist | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health Inpatient Providers Medical Group Inc. | Hospitalist | Current | Accepting new patients |
| KND Development 59 LLC | Hospitalist | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| KND Development 59 LLC | Hospitalist | Current | Accepting new patients |
| KND Development 59, LLC | Hospitalist | Current | Accepting new patients |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Past | Accepting new patients | |
| Mobile Medical Group | Past | Accepting new patients |
Locations
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
4275 Campus Point Ct
Ste CP207
San Diego, CA 92121
4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
Interoperability endpoints
- mhom18819@scrippshlth.medalliesdirect.net
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- La Jolla, CA
- NPI 1366575169
-
- Hospitalist Physician
- Santa Ana, CA
- NPI 1740519081
-
dba Scripps Clinic
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
Hospitalist
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1699043000
Hospitalist
-
- Hospitalist Physician
- San Diego, CA
- NPI 1881923951
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba Scripps Home Health Care Services
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
dba Scripps Coastal Medical Center
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
-
dba Specialty Hospitals Broken Arrow
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UCSD Medical Center
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
-
dba d/b/a Kindred Hospital - San Diego
- Long Term Care Hospital
- San Diego, CA
- NPI 1992880512
Long-term care hospital
-
- Long Term Care Hospital
- San Diego, CA
- NPI 1639172133
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1881632081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54118",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900540118",
"telephone_number": "619-686-3935",
"fax_number": "619-686-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4077 FIFTH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032105",
"telephone_number": "619-686-3935",
"fax_number": "619-686-3874"
}
],
"practiceLocations": [
{
"address_1": "10666 N Torrey Pines Rd",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371027",
"country_code": "US",
"telephone_number": "858-554-6158",
"fax_number": "858-554-6565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOM",
"first_name": "MATTHEW",
"middle_name": "HERBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A68160",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A68160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A681601",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.