Healthcare Provider Details

I. General information

NPI: 1144152950
Provider Name (Legal Business Name): KRISTI MATSUOKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9225 CALLE DEL REY
GILROY CA
95020-7733
US

IV. Provider business mailing address

220 FOX HOLLOW CIR
MORGAN HILL CA
95037-3054
US

V. Phone/Fax

Practice location:
  • Phone: 669-205-4600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30438
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: