Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Matthew Hadilaksono, DO

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1205225174

Dr. Matthew Hadilaksono, DO is a Physical Medicine and Rehabilitation in Templeton, California. Qualified in 2012, 14 years ago. Practices with Restorative Spine and Pain Inc, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1105 Las Tablas Rd Ste D
Templeton, CA 93465-9731
Phone: (805) 550-6689
Fax: (833) 615-2271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 214 S Stratford Ave, Santa Maria, CA 93454-5902 — (805) 550-6689

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 20A15470 (CA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 20A15470 (CA)

Record details

NPI number1205225174
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 15, 2015
Last updated in NPPESMarch 1, 2022
Certification dateFebruary 24, 2022
Mailing address128 La Colima, Pismo Beach, CA 93449-2841

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Restorative Spine And Pain Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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