LAUREN MATSUMOTO CPNP
NPI 1316316946
Nurse Practitioner - Pediatrics in Fontana, CA
About Lauren Matsumoto Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN MATSUMOTO CPNP (NPI 1316316946) is an individual pediatrics provider in Fontana, California, licensed in California (745202) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lauren Matsumoto Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lauren Matsumoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rialto, CA 92376
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FONTANA, CA 92336
FONTANA, CA 92336
FONTANA, CA 92336
Frequently 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 Lauren Matsumoto's NPI number?
The NPI number for Lauren Matsumoto is 1316316946. It was assigned to this individual provider in the NPPES registry on September 24, 2015.
Where is Lauren Matsumoto located?
Lauren Matsumoto practices at 16465 Sierra Lakes Pkwy, Fontana, CA 92336. The listed phone number is (909) 823-8000.
What is Lauren Matsumoto's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Lauren Matsumoto enrolled in Medicare?
Yes. Lauren Matsumoto is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lauren Matsumoto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Matsumoto reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Rialto, CA). The 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 Lauren Matsumoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lauren Matsumoto was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lauren Matsumoto, CPNP · NPI 1316316946
Pediatrics physician in Fontana, California. Individual provider, active in the CMS NPPES registry since September 24, 2015.
## Identity
- **NPI:** 1316316946 (Entity type: Individual)
- **Enumerated:** September 24, 2015
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 745202 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16465 SIERRA LAKES PKWY, Fontana, CA 92336-1242
- **Phone:** (909) 823-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Faculty Physicians And Surgeons Of Llusm (NPI 1700495363, Rialto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1316316946) · Data from the CMS NPPES public registry.