JENNIFER YUKO MATSUDA MD
NPI 1366008716
Student in an Organized Health Care Education/Training Program in Colton, CA

Active since May 10, 2019PECOS EnrolledAccepts Medicare Assignment
400 N PEPPER AVE, COLTON, CA 92324(909) 580-3366 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 7, 2022, May 10, 2019 (2 updates tracked since 2019).

About Jennifer Yuko Matsuda Md NPPES

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

JENNIFER YUKO MATSUDA MD (NPI 1366008716) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366008716
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER YUKO MATSUDACredential: MD
Location Address400 N PEPPER AVEColton, CA 92324-1801
Mailing Address724 Tunbridge RdDanville, CA 94526-4337 · (925) 786-8595
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 10, 2019
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1366008716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
400 N PEPPER AVE, Colton, CA 92324

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Yuko Matsuda Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42684052
PECOS Enrollment IDI20230314002440
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.

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.

Licensed Psychiatric Technician
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse (Psychiatric/Mental Health)
400 N PEPPER AVE
COLTON, CA 92324
General Acute Care Hospital
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE
COLTON, CA 92324
Otolaryngology
400 N PEPPER AVE, MOB SUITE 308
COLTON, CA 92324

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 Jennifer Matsuda's NPI number?

The NPI number for Jennifer Matsuda is 1366008716. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Jennifer Matsuda located?

Jennifer Matsuda practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-3366.

What is Jennifer Matsuda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Matsuda enrolled in Medicare?

Yes. Jennifer Matsuda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Matsuda was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.