JUAN PAULO MATA (NPI# 1063741783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063741783 |
| Entity Type | Individual |
| Full Name | JUAN PAULO MATA |
| Practice Address |
2140 Merced St Ste 101 Fresno CA 93721-1721 |
| Mailing Address |
1885 Lundy Ave Suite 223 San Jose CA 95131-1887 |
| Practice Telephone | 5598921128 |
| Mailing Telephone | 4082849000 |
| Mailing Fax Number | 4082849048 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1885 Lundy Ave, Suite 223, San Jose, CA 951311887 | 4082849000 | 4082849048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902948185 | Juan C Mata | Physical Therapist | 5210 N 10th St, Mcallen, TX 78504-2701 | 2007-02-13 |
| 1871058420 | Juan Daniel Mata | Behavior Technician | 202 E Airport Dr Ste 150, San Bernardino, CA 92408-3429 | 2019-02-07 |
| Street Address |
2140 MERCED ST STE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518485275 | Taylor Nicole Boswell | Counselor | 2140 Merced St Ste 101, Fresno, CA 93721-1721 | 2017-09-01 |
| 1528586302 | Allison Elizabeth Weeeks | Counselor | 2140 Merced St Ste 101, Fresno, CA 93721-1721 | 2017-08-31 |
| 1063960763 | Jacqueline Marie Lujano | Marriage & Family Therapist | 2140 Merced St Ste 101, Fresno, CA 93721-1721 | 2016-09-12 |
| 1891148383 | Pachia Vang | Social Worker | 2140 Merced St Ste 101, Fresno, CA 93721-1721 | 2016-07-20 |
| 1750739363 | Fernando Melgarejo Torres | Counselor | 2140 Merced St Ste 101, Fresno, CA 93721-1721 | 2016-05-25 |
| 1316319684 | Maira Luisa Vera Mendoza | Counselor | 2140 Merced St Ste 101, Fresno, CA 93721-1721 | 2015-10-27 |
| 1417334228 | Rene Ricardo Huerta Sr. | Marriage & Family Therapist | 2140 Merced St Ste 101, Fresno, CA 93721-1721 | 2015-04-30 |
| 1225422439 | Heather Doriann Gamez | Licensed Vocational Nurse | 2140 Merced St Ste 101, Fresno, CA 93721-1721 | 2015-03-25 |
| 1922492719 | Sheri Noxon | Marriage & Family Therapist | 2140 Merced St Ste 101, Fresno, CA 93721-1721 | 2015-03-19 |
| 1720492101 | Nancy Boswell | Marriage & Family Therapist | 2140 Merced St Ste 101, Fresno, CA 93721-1721 | 2014-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012658 | Susan Vue | Counselor | 4855 E King Cyn Rd Ste 105, Fresno, CA 93727-3811 | 2020-08-06 |
| 1104445543 | Chavon Cecily Williams | Counselor | 4006 Redwood Hill Ct, Fresno, TX 77545-8726 | 2020-04-15 |
| 1003444530 | Healing Hopes, Inc. | Counselor | 1960 N Gateway Blvd, Fresno, CA 93727-1604 | 2020-03-30 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1730726407 | Martha Lynn Hosier | Counselor | 1616 W Shaw Ave Ste B2, Fresno, CA 93711-3513 | 2019-12-02 |
| 1598228439 | Bayon B Harris Sr. | Counselor | 4111 W Princeton Ave, Fresno, CA 93722-6810 | 2019-04-08 |
| 1205392008 | Andrew Marshall Davis | Counselor | 320 E Warner Ave, Fresno, CA 93710-3711 | 2019-02-16 |
| 1902375637 | Andrew Arroyo | Counselor | 1925 E Rialto Ave, Fresno, CA 93726-0229 | 2018-11-26 |
| 1265917504 | Romaine Ornelia Desclos | Counselor | 6435 N Palm Ave Ste 103, Fresno, CA 93704-1086 | 2018-10-02 |
| 1508357773 | Armando Mendoza | Counselor | 3138 W Dakota Ave Spc 215, Fresno, CA 93722-4991 | 2018-05-23 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.