JOSE MATA (NPI# 1346227170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346227170 |
| Entity Type | Individual |
| Full Name | JOSE MATA |
| Practice Address |
629 Avenue D Snohomish WA 98290 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 6056815543 |
| Mailing Telephone | 2067643335 |
| Mailing Fax Number | 2067840489 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2018-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5866640-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8459430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127817 | Jose Luis Mata Jr. | Physical Therapy Assistant | 4500 San Bernardo Ave Ste 108, Laredo, TX 78041-5718 | 2020-08-31 |
| 1578807681 | Jose Mata | Marriage & Family Therapist | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2012-11-15 |
| 1760594816 | Jose Julio Mata | Radiology | 7800 Sw 87th Ave, Suite A-110, Miami, FL 33173-3570 | 2006-08-31 |
| 1962402859 | Jose A Mata | Family Medicine | 2309 E Main St, Ste 400, New Iberia, LA 70560-4046 | 2005-07-21 |
| Street Address |
629 AVENUE D |
| City | SNOHOMISH |
| State | WA |
| Zip Code | 98290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780131672 | Breanne Janelle Vanvoast | Nurse Practitioner | 629 Avenue D, Snohomish, WA 98290-2330 | 2016-09-08 |
| 1760886980 | Western Washington Medical Group, Inc Ps | Nurse Practitioner | 629 Avenue D, Snohomish, WA 98290-2330 | 2014-10-17 |
| 1831447622 | Caralee Lydia Wirth | Speech-Language Pathologist | 629 Avenue D, Snohomish, WA 98290-2330 | 2012-08-27 |
| 1891068466 | Snohomish Speech & Language | Speech-Language Pathologist | 629 Avenue D, Snohomish, WA 98290-2330 | 2012-02-13 |
| 1114294857 | Alison Leslie Damboise | Speech-Language Pathologist | 629 Avenue D, Snohomish, WA 98290-2330 | 2011-11-23 |
| 1376847657 | Brian Eirik Coe, O.d., P.s., Inc | Optometrist | 629 Avenue D, Snohomish, WA 98290-2330 | 2010-12-31 |
| 1114257789 | Jason C Davis | Physician Assistant | 629 Avenue D, Snohomish, WA 98290-2330 | 2010-01-05 |
| 1417184870 | Pamela Elizabeth Wireman | Physician Assistant | 629 Avenue D, Snohomish, WA 98290-2330 | 2009-06-12 |
| 1780874602 | Karen J. Sallee | Nurse Practitioner | 629 Avenue D, Snohomish, WA 98290-2330 | 2007-07-26 |
| 1053484170 | Brian Eirik Coe | Optometrist | 629 Avenue D, Suite 2, Snohomish, WA 98290 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185579 | Payton Helene Lewis | Massage Therapist | 1101 Ave D, C-106, Snohomish, WA 98290 | 2019-10-09 |
| 1225542921 | Pacifica Sl Snohomish | Assisted Living Facility | 1124 Pine Avenue, Snohomish, WA 98290 | 2017-11-17 |
| 1649781469 | Julia Miller | Behavioral Analyst | 2621 Bickford Ave Ste C, Snohomish, WA 98290 | 2017-10-19 |
| 1417315821 | Sherrie June Cooper | Speech-Language Pathologist | 1131 Silva Street, Snohomish, WA 98290 | 2016-02-01 |
| 1689067514 | Gladdie Altura | Speech-Language Pathologist | 12125 Chain Lake Rd, Snohomish, WA 98290 | 2015-03-17 |
| 1740618321 | Rebekah Joanne Oldenkamp | Naturopath | 110 Cedar Avenue, Suite 101, Snohomish, WA 98290 | 2013-10-17 |
| 1356779151 | Cassandra Hurd | Naturopath | 110 Cedar Ave Apt 101, Snohomish, WA 98290 | 2013-10-15 |
| 1982937801 | Elisa Madeline Chimienti | Massage Therapist | 1610 145th Ave. S.e., Snohomish, WA 98290 | 2009-09-10 |
| 1144452319 | Crystal L Blankinship | Counselor | 1830 Bickford Ave Ste 211, Snohomish, WA 98290 | 2009-08-20 |
| 1649417528 | Sondra Deschell | Reflexologist | 127 Ave A, Ste 2b, Snohomish, WA 98290 | 2009-01-14 |
| Find all providers in zip 98290 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205020591 | Kristy Marie Thompson | Family Medicine | 17432 State Route 9 Se Ste 201, Snohomish, WA 98296 | 2007-08-30 |
| 1225004658 | Roland V. Feltner | Family Medicine | 1830 Bickford Ave, Suite 211, Snohomish, WA 98290-1749 | 2006-02-25 |
| 1073504130 | Michael S Mcclincy | Family Medicine | 401 2nd St, Snohomish, WA 98290-3008 | 2005-10-28 |
| 1689674830 | Susan Marie Reis | Family Medicine | 1212 10th St, Suite A, Snohomish, WA 98290-2070 | 2005-07-29 |
| 1316180656 | Claire Fung | Family Medicine | 401 2nd St, Snohomish, WA 98290-3008 | 2009-04-16 |
| 1396819272 | John Jerome Hunholz | Family Medicine | 18122 State Route 9 Se, Suite B, Snohomish, WA 98296-5384 | 2006-11-20 |
| 1467467274 | Carl E Luther | Family Medicine | 629 Avenue D, Snohomish, WA 98290-2330 | 2006-07-30 |
| 1811901572 | Valerie Kay Eckley | Family Medicine | 629 Avenue D, Snohomish, WA 98290-2330 | 2006-07-28 |
| 1336163351 | William Douglas Trotter | Family Medicine | 629 Avenue D, Snohomish, WA 98290-2330 | 2006-07-26 |
| 1427079557 | Ival L Salyer | Family Medicine | 629 Avenue D, Snohomish, WA 98290-2330 | 2006-07-22 |
| Find all providers in SNOHOMISH | ||||
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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.