DR. RICHARD MICHAEL MATKALUK M.D.
NPI 1104926229
Specialist in Murrieta, CA

Q: What is Richard Matkaluk's NPI number?

The NPI number for Richard Matkaluk is 1104926229. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Richard Matkaluk's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Matkaluk was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2006PECOS Enrolled

25395 HANCOCK AVE, SUITE 230, MURRIETA, CA 92562(951) 894-4100(951) 894-4113 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Richard Michael Matkaluk M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD MICHAEL MATKALUK M.D. (NPI 1104926229) is an individual specialist in Murrieta, California, licensed in California (G60435) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104926229

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. RICHARD MICHAEL MATKALUKCredential: M.D.

Location Address25395 HANCOCK AVE, SUITE 230Murrieta, CA 92562-9054

Mailing Address25395 Hancock Ave, Suite 230Murrieta, CA 92562-9054 · (951) 894-4100 · Fax (951) 894-4113

Phone(951) 894-4100

Fax(951) 894-4113

Sole ProprietorYes

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104926229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G60435

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

25395 HANCOCK AVE, Murrieta, CA 92562

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Other Identifiers 2

Medicare ID-Type Unspecified00G604350CA

Medicare UPINE07507CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Michael Matkaluk M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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