SARA KUMASAKA MATSUDA
NPI 1548971716
Counselor - Mental Health in Laguna Hills, CA

Q: What is Sara Kumasaka Matsuda's NPI number?

The NPI number for Sara Kumasaka Matsuda is 1548971716. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Q: What is Sara Kumasaka Matsuda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since December 08, 2022PECOS EnrolledAccepts Medicare Assignment

23461 S POINTE DR STE 100, LAGUNA HILLS, CA 92653(949) 452-0888(949) 452-0889 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 21, 2024, Dec 8, 2022 (2 updates tracked since 2022).

On this page

About Sara Kumasaka Matsuda NPPES

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

SARA KUMASAKA MATSUDA (NPI 1548971716) is an individual mental health provider in Laguna Hills, California, licensed in California (LPCC18012) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548971716

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSARA KUMASAKA MATSUDA

Location Address23461 S POINTE DR STE 100Laguna Hills, CA 92653-1523

Mailing Address14019 San Segundo DrRancho Cucamonga, CA 91739-2150 · (801) 946-2480

Phone(949) 452-0888

Fax(949) 452-0889

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 8, 2022

Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1548971716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · LPCC18012

23461 S POINTE DR STE 100, Laguna Hills, CA 92653

Open in Google Maps ↗

Other Identifiers 1

Other101YP2500XCA · Outpatient Mental Health

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sara Kumasaka Matsuda 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 ID7911436274

PECOS Enrollment IDI20250130004211

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.

Medicare Billing Reassignment

Medicare enrollment records show Sara Kumasaka Matsuda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shanti Orange County

Same address

Adult Mental Health

23461 S POINTE DR, SUITE 100
Laguna Hills, CA 92653

Reassigned Medicare billing, California enrollment
23 clinicians in this Medicare group

NPI 1447656418 (949) 452-0888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MISS HARPREET MALLA M.A.

Psychologist