OrganizationActive
Mavis N Matsumoto, MD, LLC
NPI 1902174741 · Non-Pharmacy Dispensing Site · Henderson, NV
Mavis N Matsumoto, MD, LLC is a Non-Pharmacy Dispensing Site organization in Henderson, NV (NPI 1902174741).
Provider details
- NPI number
- 1902174741
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Mavis N Matsumoto, MD, LLC
- Organization subpart
- Yes
- Authorized official
- Mavis Matsumoto, Owner(702) 992-4050
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2780 W Horizon Ridge Pkwy
Suite 30
Henderson, NV 89052-3995
Phone: (702) 992-4050
Street-level locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2013-04-15
Frequently asked questions
- What is Mavis N Matsumoto, MD, LLC's NPI number?
- Mavis N Matsumoto, MD, LLC's National Provider Identifier (NPI) is 1902174741, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mavis N Matsumoto, MD, LLC?
- Mavis N Matsumoto, MD, LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Mavis N Matsumoto, MD, LLC located?
- Mavis N Matsumoto, MD, LLC's practice location on file with NPPES is 2780 W Horizon Ridge Pkwy, Henderson, NV 89052-3995.
- What is Mavis N Matsumoto, MD, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mavis N Matsumoto, MD, LLC is (702) 992-4050.
- Who is the authorized official for Mavis N Matsumoto, MD, LLC?
- The authorized official listed on Mavis N Matsumoto, MD, LLC's NPPES record is Mavis Matsumoto, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mavis N Matsumoto, MD, LLC's NPI active?
- Yes — Mavis N Matsumoto, MD, LLC's NPI (1902174741) is active in the NPPES registry as of the last update on 2013-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.