DR. DANIEL MATEMOTJA (NPI# 1821002759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821002759 |
| Entity Type | Individual |
| Full Name | DR. DANIEL MATEMOTJA |
| Credential | MD |
| Practice Address |
711 East Rosecrans Avenue Compton CA 90221 |
| Practice Telephone | 3106355223 |
| Practice Fax Number | 3106352846 |
| Mailing Telephone | 3106355223 |
| Mailing Fax Number | 3106352846 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A35512 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX ID | 954825811 | 01 |
| CA | 00A355121 | 05 | |
| CA | GROUP MEDICAID | GR0100760 | 01 |
| Street Address |
711 EAST ROSECRANS AVENUE |
| City | COMPTON |
| State | CA |
| Zip Code | 90221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821429838 | Prohealth Partners A Medical Group Inc | Family Medicine | 711 East Rosecrans Avenue, Compton, CA 90221-2143 | 2013-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448313 | Yong Wung Yoo | Acupuncturist | 2787 E. Del Amo Blvd, G-1, Rancho Dominguez, CA 90221 | 2018-12-07 |
| 1962920231 | Sara Alsabbagh | Counselor | 600 Alameda Street, East, Compton, CA 90221 | 2017-09-06 |
| 1780109462 | Lisete Gomez | Social Worker | 509 E Rosecrans Avenue, Compton, CA 90221 | 2017-08-03 |
| 1821528175 | Jataja Patterson | Behavior Technician | 15531 South Gibson Avenue, Compton, CA 90221 | 2017-06-19 |
| 1316318439 | Yuin University | Health Maintenance Organization | 2007 E Compton Blvd, Compton, CA 90221 | 2015-10-15 |
| 1609245125 | Bryttani Schlater | Marriage & Family Therapist | 600 Alameda Street East, Compton, CA 90221 | 2015-09-15 |
| 1750757480 | Colleen Flores | Marriage & Family Therapist | 509 East Rosecrans Avenue, Compton, CA 90221 | 2015-08-17 |
| 1447686399 | Sarah Hamblet | Counselor | 509 E. Rosecrans Ave., Compton, CA 90221 | 2013-09-24 |
| 1558671222 | Joyce Redor Lim | Adult Companion | 1680 Tartar Lane, 22, Compton, CA 90221 | 2010-10-15 |
| 1730407099 | Natasha Ashley | Counselor | 15727 S. Atlantic Ave., A204, Compton, CA 90221 | 2010-05-12 |
| Find all providers in zip 90221 | ||||
| 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 |
|---|---|---|---|---|
| 1174099782 | Alegria Family Medical Clinic | Family Medicine | 1315 N Bullis Rd Ste 6, Compton, CA 90221-1662 | 2018-10-22 |
| 1558883942 | Syed Hossain, M.d., Inc | Family Medicine | 1410 W Alondra Blvd # B, Compton, CA 90220-3533 | 2017-07-07 |
| 1801327630 | Edward Cardenas | Family Medicine | 135 E Compton Blvd, Compton, CA 90220-2410 | 2017-03-23 |
| 1467803510 | Joseph M Molina Md Professional Corporation- Southern California | Family Medicine | 1111 E Artesia Blvd, Compton, CA 90221-5314 | 2016-06-29 |
| 1316382807 | American Health Clinics | Family Medicine | 508 N Long Beach Blvd, Compton, CA 90221-2221 | 2013-05-09 |
| 1063625424 | Samuel D. Benjamin | Family Medicine | 121 S Long Beach Blvd, Compton, CA 90221-3423 | 2007-05-08 |
| 1023147717 | David Andrew Guerrero | Family Medicine | 2210 E Compton Blvd, Compton, CA 90221-3556 | 2007-03-05 |
| 1629111018 | Douglas Egeonu Okpara | Family Medicine | 19301 S Santa Fe Ave, Suite 120, Compton, CA 90221-5920 | 2007-02-15 |
| 1033110861 | Fred Boyd Kyazze | Family Medicine | 1410 W. Alondra Blvd., Suite C, Compton, CA 90220-3533 | 2005-08-02 |
| 1760974380 | St. Anthony Medical Centers | Family Medicine | 1145 E Compton Blvd, Compton, CA 90221-3307 | 2018-05-30 |
| Find all providers in COMPTON | ||||
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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.