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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GRANT MATSUURA
NPI 1386064079
Dentist - General Practice in Los Angeles, CA

Active since April 21, 2014
714 TRIVERTON AVE, LOS ANGELES, CA 90095(310) 206-3904 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Jul 9, 2018 (2 updates tracked since 2018).

About Grant Matsuura NPPES

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

GRANT MATSUURA (NPI 1386064079) is an individual general practice provider in Los Angeles, California, licensed in California (112852) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1386064079
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGRANT MATSUURA
Location Address714 TRIVERTON AVELos Angeles, CA 90095-0001
Mailing Address714 Triverton AveLos Angeles, CA 90095-0001 · (801) 580-4470
Phone(310) 206-3904
Sole ProprietorYes
Enumeration DateApril 21, 2014
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1386064079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 112852
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
714 TRIVERTON AVE, Los Angeles, CA 90095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Delta Dental PPO, EMI Health and more.Insurance ›

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 Grant Matsuura's NPI number?

The NPI number for Grant Matsuura is 1386064079. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Grant Matsuura located?

Grant Matsuura practices at 714 Triverton Ave, Los Angeles, CA 90095. The listed phone number is (310) 206-3904.

What is Grant Matsuura's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Grant Matsuura accept?

Health plans from BridgeSpan Health Company, Delta Dental PPO, EMI Health and Regence BlueCross BlueShield of Utah list Grant Matsuura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grant Matsuura was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.