MRS. SUSANNE MICHELLE MATICH P.N.P.
NPI 1841516077
Nurse Practitioner - Pediatrics in Los Angeles, CA
About Mrs. Susanne Michelle Matich P.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUSANNE MICHELLE MATICH P.N.P. (NPI 1841516077) is an individual pediatrics provider in Los Angeles, California, licensed in California (14305) and active in the NPI registry since April 2010. 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)
Mrs. Susanne Michelle Matich P.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susanne Matich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 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 90027 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.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Susanne Matich's NPI number?
The NPI number for Susanne Matich is 1841516077. It was assigned to this individual provider in the NPPES registry on April 13, 2010.
Where is Susanne Matich located?
Susanne Matich practices at 4650 W Sunset Blvd Mailstop 81, Los Angeles, CA 90027. The listed phone number is (323) 361-5562.
What is Susanne Matich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Susanne Matich enrolled in Medicare?
Yes. Susanne Matich is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susanne Matich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susanne Matich reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Susanne Matich'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 Susanne Matich was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Susanne Michelle Matich, P.N.P. · NPI 1841516077
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 13, 2010.
## Identity
- **NPI:** 1841516077 (Entity type: Individual)
- **Enumerated:** April 13, 2010
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 14305 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4650 W SUNSET BLVD, MAILSTOP 81, Los Angeles, CA 90027-6062
- **Phone:** (323) 361-5562
## 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:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1841516077) · Data from the CMS NPPES public registry.