Individual provider Active NPI

Matthew Kamerzell, D.C.

  • Chiropractor
  • Antioch, CA
National Provider Identifier
1942505839
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31480 Issued in CA
Practice address
4099 Lone Tree Way
Suite B
Antioch, CA 94531-6200
Phone
(925) 706-8883
Fax
(925) 753-1283
NPI assigned
Jan 24, 2011
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31480 CA Primary

Addresses

Primary practice location

4099 Lone Tree Way
Suite B
Antioch, CA 94531-6200

Mailing address

323 Schooner Way
Pittsburg, CA 94565-3547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31480CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1942505839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SCHOONER WAY",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945653547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 LONE TREE WAY",
            "address_2": "SUITE B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316200",
            "telephone_number": "925-706-8883",
            "fax_number": "925-753-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMERZELL",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.