MR. HERMAN MATA CORTEZA (NPI# 1821112947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821112947 |
| Entity Type | Individual |
| Full Name | MR. HERMAN MATA CORTEZA |
| Credential | M.S., MSW, ASW |
| Practice Address |
2550 E Foothill Blvd Fl 2 Pasadena CA 91107-3406 |
| Mailing Address |
4771 Round Top Dr Los Angeles CA 90065-5237 |
| Practice Telephone | 6267445230 |
| Mailing Telephone | 3103085222 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
36663 | CA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
36663 | CA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 36663 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2550 E FOOTHILL BLVD FL 2 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770626434 | Christopher Allen Leucht | Psychologist | 2550 E Foothill Blvd Fl 2, Pasadena, CA 91107-3406 | 2007-02-14 |
| 1568010106 | Peter Yuen | Counselor | 2550 E Foothill Blvd Fl 2, Pasadena, CA 91107-3406 | 2019-08-27 |
| 1932768181 | Alejandra Villar | Student in an Organized Health Care Education/Training Program | 2550 E Foothill Blvd Fl 2, Pasadena, CA 91107-3406 | 2019-06-11 |
| 1942708870 | Alison Guadalupe Vidaurre | Counselor | 2550 E Foothill Blvd Fl 2, Pasadena, CA 91107-3406 | 2018-01-25 |
| 1578084455 | Ulma Isela Romero-garcia | Counselor | 2550 E Foothill Blvd Fl 2, Pasadena, CA 91107 | 2017-06-30 |
| 1033639836 | Mariela Navarrette | Social Worker | 2550 E Foothill Blvd Fl 2, Pasadena, CA 91107-3406 | 2017-06-22 |
| 1013368273 | Pamela Clarissa Gonzalez | Student in an Organized Health Care Education/Training Program | 2550 E Foothill Blvd Fl 2, Pasadena, CA 91107-3406 | 2016-06-28 |
| 1083068126 | Hannah Marie Powell | Counselor | 2550 E Foothill Blvd Fl 2, Pasadena, CA 91107 | 2016-04-14 |
| 1417337882 | Julie Juarez | Case Manager/Care Coordinator | 2550 E Foothill Blvd Fl 2, Pasadena, CA 91107-3406 | 2015-06-01 |
| 1811319007 | Elizabeth Contreras | Case Manager/Care Coordinator | 2550 E Foothill Blvd Fl 2, Pasadena, CA 91107-3406 | 2014-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975593 | Robbie Davis | Counselor | 1710 Strawberry Rd Ste 300, Pasadena, TX 77502-2649 | 2020-02-26 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1689144271 | Cathy Haigis | Counselor | 2528 Mountain Rd.7204, Pasadena, MD 21122-7204 | 2018-11-27 |
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1013415215 | Dedicato Treatment Center Inc | Counselor | 133 N Altadena Dr Ste 430, Pasadena, CA 91107-7344 | 2018-01-23 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922528769 | Calvin Hayes | Counselor | 135 W Washington Blvd, Pasadena, CA 91103-2563 | 2017-06-22 |
| 1518406545 | Kevin Cross | Counselor | 25 El Nido Ave Apt 5, Pasadena, CA 91107-4448 | 2017-02-23 |
| Find all providers in PASADENA | ||||
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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.