DR. NANA MATOBA M.D.
NPI 1801952197
Pediatrics - Neonatal-Perinatal Medicine in San Diego, CA

Q: What is Nana Matoba's NPI number?

The NPI number for Nana Matoba is 1801952197. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Nana Matoba's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Nana Matoba was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 29, 2006PECOS Enrolled

3010 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-5818 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Nana Matoba M.d. NPPES

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

DR. NANA MATOBA M.D. (NPI 1801952197) is an individual neonatal-perinatal medicine provider in San Diego, California, licensed in California (C183845) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in La Jolla.

NPPES Registry Identity

NPI1801952197

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. NANA MATOBACredential: M.D.

Location Address3010 CHILDRENS WAYSan Diego, CA 92123-4223

Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300

Phone(858) 966-5818

Sole ProprietorNo

Enumeration DateDecember 29, 2006

Last NPPES UpdateFebruary 21, 2024

NPPES CertifiedFebruary 21, 2024

✔ NPI 1801952197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · C183845

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

3010 CHILDRENS WAY, San Diego, CA 92123

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Secondary Practice Location 1

Location 19300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (858) 249-1703

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. Nana Matoba 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.

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.

DR. KATHERINE N. NYMAN MD

Pediatrics (Neonatal-Perinatal Medicine)