Marianne D Matsuguma, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13317 Issued in CA

Practice address

710 N Euclid St Ste 101
Anaheim, CA 92801-4132

Phone

(714) 772-1030

Fax

(714) 772-1758

NPI assigned

Jun 29, 2007

Last updated

Jun 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: marianne.matsuguma.p13@direct.pca.nextgenshare.com
• Direct secure messaging: mariannematsuguma@ngmai.allscriptsdirect.net

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.

• Primary and Multi Specialty Clinics of Anaheim Inc

  dba Gateway Medical Center

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1053408278
  Medicare reassignment
• James Satoshi Yoshikawa, M.D.

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1750436473
  Medicare reassignment
• Metropolitan Ipa

  • Home Health Agency
  • Anaheim, CA
  • NPI 1417208141
  NPD
• Primary and Multi-Specialty Clinics of Anaheim, Inc

  dba Gateway Medical Center-Anaheim Hills

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1962599183
  NPD
• Pacific Cardiovascular Associates Medical Group, Inc.

  • Cardiovascular Disease Physician
  • Irvine, CA
  • NPI 1700821691
  NPD (past)
• The Family Medicine Center

  • Clinic/Center
  • Anaheim, CA
  • NPI 1013114313
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1972700292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST STE 400",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014122",
            "telephone_number": "714-517-2019",
            "fax_number": "714-300-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014132",
            "telephone_number": "714-772-1030",
            "fax_number": "714-772-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUGUMA",
        "first_name": "MARIANNE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750436473",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajay Sharan Mathur, MD
• Ana Vanessa Calpito Matillano
• Sahar Matin, PHARM.D.
• Matrix Rehabilitation, Inc. (ARC Physical Therapy)
• Matrix Rehabilitation, Inc. (Select Physical Therapy)
• Katsuko Matsui, DDS
• Megan Matsumoto
• Victor Sada Matsunaga, PHARM.D.
• Mattar Dental Inc
• Dina Mattar, D.D.S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.