PICO OUTPATIENT
NPI 1063878510
Community/Behavioral Health in Santa Monica, CA
About Pico Outpatient NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PICO OUTPATIENT (NPI 1063878510) is a healthcare organization registered as a community/behavioral health in Santa Monica, California and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Matt Walton, Interim Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pico Outpatient is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Pico Outpatient, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2128589
Pico Outpatient · Santa Monica, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clare Matrix's NPI number?
The NPI number for Clare Matrix is 1063878510. It was assigned to this organization in the NPPES registry on January 13, 2016. The provider is also known as Pico Outpatient.
Where is Clare Matrix located?
Clare Matrix is located at 1002 Pico Blvd, Santa Monica, CA 90405. The listed phone number is (310) 314-6200.
What is Clare Matrix's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Clare Matrix enrolled in Medicare?
Yes. Clare Matrix is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clare Matrix?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Clare Matrix, in Internal Medicine, Marriage and Family Therapist and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clare Matrix hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2128589) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Clare Matrix was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pico Outpatient · NPI 1063878510
Community/Behavioral Health organization in Santa Monica, California. Organization record, active in the CMS NPPES registry since January 13, 2016.
## Identity
- **NPI:** 1063878510 (Entity type: Organization)
- **Enumerated:** January 13, 2016
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Clare Matrix
- **Organization subpart:** No
- **Authorized official:** Matt Walton, INTERIM EXECUTIVE OFFICER
## Practice location
- **Address:** 1002 PICO BLVD, Santa Monica, CA 90405-1416
- **Phone:** (310) 314-6200 · **Fax:** (310) 450-2024
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Marriage and Family Therapist (2), Internal Medicine (1), Nurse Practitioner (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063878510) · Data from the CMS NPPES public registry.