MR. ISAIAS MATA JR. (NPI# 1780865857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780865857 |
| Entity Type | Individual |
| Full Name | MR. ISAIAS MATA JR. |
| Credential | P.A. |
| Practice Address |
2717 Michael Angelo Edinburg TX 78539-1403 |
| Practice Telephone | 9562177000 |
| Practice Fax Number | 9566821960 |
| Mailing Telephone | 9562177000 |
| Mailing Fax Number | 9566821960 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA03404 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS LICENSE | PA03404 | 01 |
| Street Address |
2717 MICHAEL ANGELO |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467435982 | Carlos Alberto Herrera | Obstetrics & Gynecology | 2717 Michael Angelo, Ste 304, Edinburg, TX 78539 | 2005-11-29 |
| 1275875064 | Gummadi & Desai LLC | Clinical Medical Laboratory | 2717 Michael Angelo, Suite 302, Edinburg, TX 78539-1408 | 2013-03-20 |
| 1871892174 | Sarada Gummadi Md Pa | Internal Medicine | 2717 Michael Angelo, Suite 302, Edinburg, TX 78539-1408 | 2011-03-25 |
| 1972745081 | Ghanem Daghestani Md Pa | Internal Medicine | 2717 Michael Angelo, Suite 303, Edinburg, TX 78539-1408 | 2009-04-03 |
| 1467618215 | Rgv Hemato-oncology, M.d., P.a. | Internal Medicine | 2717 Michael Angelo, Suite 302, Edinburg, TX 78539-1408 | 2008-07-31 |
| 1023167129 | Oscar J Garcia Md Pa | Radiology | 2717 Michael Angelo, Radiation Oncology Dept, Edinburg, TX 78539-1408 | 2007-01-09 |
| 1629011135 | Satish D Desai | Internal Medicine | 2717 Michael Angelo, # 302, Edinburg, TX 78539-1408 | 2006-06-13 |
| 1487612727 | Ghanem Daghestani Md Pa | Internal Medicine | 2717 Michael Angelo, Suite 303, Edinburg, TX 78539-1408 | 2006-05-03 |
| 1629044490 | Oscar J Garcia | Radiology | 2717 Michael Angelo, Radiation Oncology Dept, Edinburg, TX 78539-1408 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104369578 | Melissa Wedesky | Physician Assistant | 3126 Center Point Dr, Edinburg, TX 78539-4804 | 2016-12-02 |
| 1861863243 | Leroy Moreno | Physician Assistant | 2046 S Mccoll Rd, Edinburg, TX 78539-0228 | 2015-10-12 |
| 1780987396 | Magdalena Salinas | Physician Assistant | 2603 Michael Angelo, Edinburg, TX 78539-1417 | 2010-12-21 |
| 1841748779 | Jessica Aguilar | Physician Assistant | 5105 S Mccoll Rd, Edinburg, TX 78539-8278 | 2016-09-20 |
| 1356798920 | Marc B. Geller | Physician Assistant | 1601 E Sprague St, Edinburg, TX 78542-5260 | 2016-05-24 |
| 1871957167 | Michael Ryan Schrock | Physician Assistant | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2016-04-12 |
| 1215391503 | Jaime Arturo Sierra | Physician Assistant | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2016-04-12 |
| 1730552357 | Dania Gabriela Rodriguez | Physician Assistant | 1901 S 24th Ave, Edinburg, TX 78539-6533 | 2015-11-04 |
| 1649648759 | Matthew Martinez | Physician Assistant | 5540 Raphael Dr, Edinburg, TX 78539-1407 | 2015-09-04 |
| 1104165554 | Westly Arrow Keating | Physician Assistant | 5007 S Mccoll Rd, Edinburg, TX 78539-8080 | 2013-02-05 |
| Find all providers in EDINBURG | ||||
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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.