Individual provider Active NPI

David Michael Matoso, P.T.

  • Sports Physical Therapist
  • Foster City, CA
National Provider Identifier
1891834982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
14234 Issued in CA
Practice address
1810 Gateway Dr
Ste 110
Foster City, CA 94404-4001
Phone
(650) 345-2739
Fax
(650) 345-2756
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 14234 CA Primary

Addresses

Primary practice location

1810 Gateway Dr
Ste 110
Foster City, CA 94404-4001

Mailing address

1810 Gateway Dr
Ste 110
Foster City, CA 94404-4001
Phone (650) 345-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000865 CA Practitioner - Physical Therapist in Private Practice 0244273738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matoso Tognetti IncGroup PAC ID 3577508860, 11 clinicians

Practice addresses (Care Compare)

1810 Gateway Dr
San Mateo, CA 94404-2470
Phone (650) 345-2739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MMT Physical Therapy Inc Sports Past Accepting new patients

Organizations & group practices 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891834982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 GATEWAY DR",
            "address_2": "STE 110",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944044001",
            "telephone_number": "650-345-2739",
            "fax_number": "650-345-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 GATEWAY DR",
            "address_2": "STE 110",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944044001",
            "telephone_number": "650-345-2739",
            "fax_number": "650-345-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOSO",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "14234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foster City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.