DAVID J. MATA, M.D., INC (NPI# 1437452539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437452539 |
| Entity Type | Organization |
| Organization Name | DAVID J. MATA, M.D., INC |
| Other Organization Name | DAVID J MATA, M.D. |
| Practice Address |
255 N Gilbert St Building B, Suite A Hemet CA 92543-4066 |
| Practice Telephone | 9517651727 |
| Practice Fax Number | 9519293601 |
| Mailing Telephone | 9517651727 |
| Mailing Fax Number | 9519293601 |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |
| Authorized Official Name | DR. DAVID JOSEPH MATA (PRESIDENT) |
| Authorized Official Telephone | 9517651727 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
G64183 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G641830 | 05 |
| Other Name | Type Code |
|---|---|
| DAVID J MATA, M.D. | Former Legal Business Name - Organization |
| Street Address |
255 N GILBERT ST BUILDING B, SUITE A |
| City | HEMET |
| State | CA |
| Zip Code | 92543-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268703 | David Joesph Mata | Family Medicine | 255 N Gilbert St, Bldg B Ste A, Hemet, CA 92543-4066 | 2006-03-08 |
| 1356695589 | Joseph Danesh Dds Inc. | Dentist | 255 N Gilbert St, Suite #a, Hemet, CA 92543-4066 | 2012-11-09 |
| 1104081447 | Michelle Anne Wall | Dentist | 255 N Gilbert St, Suite C2, Hemet, CA 92543-4066 | 2008-07-25 |
| 1154582518 | Joseph Danesh | Dentist | 255 N Gilbert St, Suite #a, Hemet, CA 92543-4066 | 2008-06-18 |
| 1063567352 | Ian Kiliona Pung | Dentist | 255 N Gilbert St, Bldg. C, Suite 4, Hemet, CA 92543-4066 | 2007-01-24 |
| 1528127842 | Springwood Podiatry Group | Durable Medical Equipment & Medical Supplies | 255 N Gilbert St, Bldg B, Hemet, CA 92543-4066 | 2006-12-06 |
| 1891879334 | Springwood Podiatry Group | Podiatrist | 255 N Gilbert St, Ste B-1, Hemet, CA 92543-4066 | 2006-10-24 |
| 1336249424 | Leonce M Arceneaux | Dentist | 255 N Gilbert St, Bulilding B, Hemet, CA 92543-4066 | 2006-09-25 |
| 1023029766 | Gary Lynn Baker | Anesthesiology | 255 N Gilbert St, Bldg B # B, Hemet, CA 92543-4066 | 2006-08-10 |
| 1609836543 | Robert Paul Drake | Podiatrist | 255 N Gilbert St, Suite B, Hemet, CA 92543 | 2006-03-24 |
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|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1013387059 | David Perz, Do Inc. | Clinic/Center | 2591 W Florida Ave, Hemet, CA 92545-4615 | 2015-10-02 |
| 1043526882 | S. Krishnan Md Inc | Clinic/Center | 1031 E Latham Ave, #3, Hemet, CA 92543-4425 | 2010-08-30 |
| 1093987547 | W. Wasef Atiya | Clinic/Center | 1011 E Devonshire Ave, Suite 101, Hemet, CA 92543-3033 | 2008-03-25 |
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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.