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

Takeshi Matsumoto, MD

Individual provider Internal Medicine Physician · NPI 1104856186

Takeshi Matsumoto, MD is an Internal Medicine in Los Angeles, California. Qualified in 1974, 52 years ago. Practices with White Memorial Medical Center, a 66-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
52
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

1245 Wilshire Blvd Ste 680
Los Angeles, CA 90017-4810
Phone: (213) 620-0822
Fax: (213) 620-1384
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A035488 (CA)

Record details

NPI number1104856186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 4, 2006
Last updated in NPPESMay 6, 2016

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Group practice White Memorial Medical Center — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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