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

Stacey K Matsuura, MD

Individual provider Family Medicine Physician · NPI 1538111927

Stacey K Matsuura, MD is a Family Practice in Torrance, California. Graduated from University of California, Davis School of Medicine in 1977, 49 years ago. Practices with Providence Medical Institute, a 336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
49
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21311 Madrona Ave Ste 100-A
Torrance, CA 90503-5970
Phone: (310) 792-4400
Fax: (310) 542-5805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G38258 (CA)

Record details

NPI number1538111927
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1977 (49 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Torrance