Christie Grace Matsumoto, is a
Rehabilitation Practitioner based in Carlsbad, California. Christie Grace Matsumoto is licensed to practice in California (license number ) and her current practice location is
2928 Jefferson St Ste 100, Carlsbad, California. She can be reached at her office (for appointments etc.) via phone at
(855) 223-7123.
NPI number for Christie Grace Matsumoto is 1598479537 and her current mailing address is Po Box 33568, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598479537.
Healthcare Provider's Profile
| Full Name | Christie Grace Matsumoto |
|---|
| Gender | Female |
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| Speciality | Rehabilitation Practitioner |
|---|
| Location | 2928 Jefferson St Ste 100, Carlsbad, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598479537
- Provider Enumeration Date: 01/12/2023
- Last Update Date: 10/12/2023
Medical Identifiers
Medical identifiers for Christie Grace Matsumoto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598479537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christie Grace Matsumoto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Christie Grace Matsumoto,
Po Box 33568,
San Diego, CA 92163-3568
Ph: (855) 223-7123 | Christie Grace Matsumoto,
2928 Jefferson St Ste 100,
Carlsbad, CA 92008-2374
Ph: (855) 223-7123 |
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