Matthew Kim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1450 N Main St
Salinas, CA 93906-5100

Phone

(831) 772-7070

NPI assigned

Nov 6, 2023

Sex

Male

Sole proprietor

Yes

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ajay G Meka MD IncGroup PAC ID 0244129963, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Ajay G. Meka M.D. Inc.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1932214657
  Medicare reassignment Care Compare group
• Amistad Multi Specialty Medical Group Inc.

  • Cardiovascular Disease Physician
  • Santa Ana, CA
  • NPI 1912556721
  NPD (past)
• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Tehachapi, CA
  • NPI 1851325021
  NPD (past)

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1962275305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065100",
            "telephone_number": "831-772-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Kilgard, MD
• Jalen Keith Killian
• James Dong Kim, DDS
• Ji Eun Kim, DMD
• Jung Hwa Kim, AMFT
• Nayeoun Kim, DDS
• Richard U Kim, MD
• Youngjoo Kim, D.D.S.
• Youngrim Kim, D.D.S
• Mark Kimes, DC

• Physician Assistant in Salinas, CA
• Providers in Salinas, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.