MIGUEL ANGEL MATAMOROS (NPI# 1336796341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336796341 |
| Entity Type | Individual |
| Full Name | MIGUEL ANGEL MATAMOROS |
| Practice Address |
725 W Vogel Ave Phoenix AZ 85021-3166 |
| Mailing Address |
7421 W Yucca St Peoria AZ 85345-5814 |
| Practice Telephone | 6233291820 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
725 W VOGEL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090114 | Rogers K Bagia | Technician | 3141 W Maldonado Rd, Phoenix, AZ 85041-6372 | 2020-07-10 |
| 1679197883 | Amanda Lee Pethers | Technician | 13820 S 44th St Apt 1129, Phoenix, AZ 85044-4857 | 2020-06-03 |
| 1639701170 | Penelope Thompson | Technician | 1728 W Elm St, Phoenix, AZ 85015-3865 | 2020-02-11 |
| 1467094466 | Cassie Hardesty | Technician | 14419 N 5th St, Phoenix, AZ 85022-4262 | 2019-10-10 |
| 1811545213 | Margaret L Cole | Technician | 3250 E Sunnyside Dr, Phoenix, AZ 85028-2037 | 2019-08-28 |
| 1477100469 | Cheryl Lee Coleman | Technician | 1301 E Meadow Ln, Phoenix, AZ 85022-4416 | 2019-08-23 |
| 1356998363 | Rusty Lassiter | Technician | 3235 W Paradise Dr, Phoenix, AZ 85029-2328 | 2019-08-23 |
| 1972805679 | Grand Canyon Home Care Inc. | Technician | 13201 N 35th Ave Ste 15b, Phoenix, AZ 85029-1232 | 2010-12-01 |
| 1609066513 | Julieta Salcido | Technician | 2707 W Charleston Ave, Phoenix, AZ 85053 | 2007-07-26 |
| 1750444733 | Valerie Gamble | Technician | 5408 S 15th St, Phoenix, AZ 85040 | 2006-12-19 |
| Find all providers in PHOENIX | ||||
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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.