IMELDA MIRANDA MATA


Address: 80 Declaration Dr, Chico, CA 95973-4900
Phone: 5308946832

IMELDA MIRANDA MATA (NPI# 1134731268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134731268
Entity Type Individual
Full Name IMELDA MIRANDA MATA
Practice Address 80 Declaration Dr
Chico
CA 95973-4900
Mailing Address 4944 Will T Rd
Chico
CA 95973-9411
Practice Telephone 5308946832
Mailing Telephone 5305210291
Enumeration Date 2020-08-19
Last Update Date 2020-08-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 56624 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 80 DECLARATION DR
City CHICO
State CA
Zip Code 95973-4900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528201878 Lawrence Kenneth Clifford Dentist 80 Declaration Dr, Suite 102, Chico, CA 95973-4913 2009-04-16
1306071758 C. Randy Landis, Dds, Inc. Dentist 80 Declaration Dr, Suite 101, Chico, CA 95973-4913 2009-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679066997 Jennifer Ballintine Dietitian, Registered 2511 Navarro Drive, Chico, CA 95973 2018-06-11
1760900724 Judith Mercedes Sneed Counselor 1360 E. Lassen Ave, Chico, CA 95973 2017-08-30
1134643497 Stone Creek Counseling Center, Inc. Counselor 30 Landing Circle, Ste. 200, Chico, CA 95973 2017-07-28
1699298323 Wyatt Pforsich Student in an Organized Health Care Education/Training Program 4038 Augusta Ln, Chico, CA 95973 2017-07-25
1407386006 Martha Martinez Case Manager/Care Coordinator 10 Indepence Circle, Chico, CA 95973 2017-06-15
1871045401 Nupur Group, LLC General Practice 729 Windham Way, Chico, CA 95973 2016-10-31
1922550664 Pablo Zubiate Perfusionist 13999 Limousin Drive, Chico, CA 95973 2016-10-28
1376090944 Sarah Scharf Behavioral Analyst 15 Declaration Dr., Chico, CA 95973 2016-09-01
1336518323 Karie Frances Kaufman Marriage & Family Therapist 60 Landing Cir, Ste 1, Chico, CA 95973 2015-09-19
1013251404 Brigette Marie Brown Speech-Language Pathologist 2870 Cactus Ave, Chico, CA 95973 2012-11-26
Find all providers in zip 95973

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275046526 Ryan Elizabeth Prendergast Physician Assistant 1720 Esplanade Fl 2, Chico, CA 95926-3315 2017-11-08
1356643621 Joshua Ismael Calderon Physician Assistant 1531 Esplanade # 72, Chico, CA 95926-3310 2010-11-18
1902092786 Cynthia Maureen Hale Physician Assistant 145 Mission Ranch Blvd., Suite 110, Chico, CA 95926 2007-09-14
1851470868 Christopher John Buckley Physician Assistant 2581 California Park Dr, Apt. 284, Chico, CA 95928-4012 2006-11-02
1255430658 Francis Anthony Croal Physician Assistant 1354 East Ave Ste R, Chico, CA 95926-7383 2006-09-22
1578514493 Renee G Christenson Physician Assistant 251 Cohasset Rd Ste 240, Chico, CA 95926-2235 2006-05-15
1316904428 Loren Glen Ott Physician Assistant 1600 Esplanade, Suite C, Chico, CA 95926-3369 2006-05-01
1023006715 William A Sprotte Physician Assistant 277 Cohasset Dr., Chico, CA 95926 2005-10-07
1396381463 Caitlin Collins Physician Assistant 2 Governors Ln, Chico, CA 95926-6300 2019-11-22
1336785096 Jeannette Marian Mutch Teesdale Physician Assistant 1531 Esplanade, Chico, CA 95926-3310 2019-11-18
Find all providers in CHICO

Competitor

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City CHICO
Zip Code 95973

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Dataset Information

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.

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