Takeshi Matsumoto (NPI# 1104856186, PAC ID# 6709073281) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104856186 |
| PAC ID by PECOS | 6709073281 |
| Professional Enrollment ID | I20101209000652 |
| Full Name | Takeshi Matsumoto |
| Address |
1245 Wilshire Blvd Suite 680 S Tower Los Angeles CA 90017-4880 |
| Phone Number | 2136200822 |
| Gender | M |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050471 | GOOD SAMARITAN HOSPITAL |
| 050502 | SAINT VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1245 Wilshire Blvd, Suite 680 S Tower, Los Angeles, CA 90017-4880 | 2136200822 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 55% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 44% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 9% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 21% | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 91% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 46% |
| Street Address |
1245 WILSHIRE BLVD SUITE 680 S TOWER |
| City | LOS ANGELES |
| State | CA |
| Zip | 90017-4880 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Feng Li | Gastroenterology | Martin H. Lee, M.d., Inc | 1245 Wilshire Blvd, Suite 780, Los Angeles, CA 90017-4881 |
| James C.s. Hahn | Internal Medicine | 1245 Wilshire Blvd, Suite 790, Los Angeles, CA 90017-4881 | |
| Ellsworth R Grant | Hematology/oncology | 1245 Wilshire Blvd, Suite 801, Los Angeles, CA 90017-4808 | |
| B. Richard Burke | Podiatry | 1245 Wilshire Blvd, Suite 810, Los Angeles, CA 90017-4808 | |
| Jorge D Minor | Physical Medicine and Rehabilitation | La Physiatrists Professional Corporation | 1245 Wilshire Blvd, Suite 403, Los Angeles, CA 90017-4804 |
| John J Estrada | Dermatology | 1245 Wilshire Blvd, Suite 817, Los Angeles, CA 90017-4808 | |
| Hartley Cohen | Gastroenterology | 1245 Wilshire Blvd, Suite 780, Los Angeles, CA 90017-4881 | |
| Roger L Novack | Ophthalmology | Retina Vitreous Associates Medical Group | 1245 Wilshire Blvd, Suite 380, Los Angeles, CA 90017-4886 |
| Young S Kim | Internal Medicine | 1245 Wilshire Blvd, Suite 715, Los Angeles, CA 90017-4807 | |
| Jung Bae | Internal Medicine | 1245 Wilshire Blvd, Suite 785, Los Angeles, CA 90017-4881 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gopal Govindarajan | Cardiovascular Disease (cardiology) | 1640 W 3rd St, Los Angeles, CA 90017-1102 | |
| Tricia A Culverhouse | Nurse Practitioner | Arroyo Vista Family Health Foundation | 303 S Loma Dr, 202 Arroyo Vista Family Health Center, Los Angeles, CA 90017-1103 |
| Edward Neymark | Interventional Radiology | 1660 W 3rd St, Los Angeles, CA 90017-1138 | |
| Beatrice C Lau | Clinical Social Worker | Special Service for Groups | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Soo M Park | Clinical Social Worker | Special Service for Groups | 1306 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Anna H Woo | Clinical Social Worker | Special Service for Groups | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Linda S Cowan | Obstetrics/gynecology | 1111 W 6th St, Fl 2, Los Angeles, CA 90017-1800 | |
| Norma L Blackwater | General Practice | 1125 W 6th St, Suite 103, Los Angeles, CA 90017-1896 | |
| Clan H Hahn | Hematology/oncology | Usc Care Medical Group Inc | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Joyce J Shin | Anesthesiology | Samaritan Anesthesiology Medical Group | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Find all physicians in zip 90017 | |||
| City | LOS ANGELES |
| Zip Code | 90017 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LOS ANGELES + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Takeshi Matsumoto.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.