DR. DIANA MATA (NPI# 1821467184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821467184 |
| Entity Type | Individual |
| Full Name | DR. DIANA MATA |
| Credential | PHARM D |
| Practice Address |
1421 Manhattan Ave Fullerton CA 92831-5221 |
| Mailing Address |
10682 Mallard Dr Garden Grove CA 92843-3324 |
| Practice Telephone | 7147321978 |
| Practice Fax Number | 6233366421 |
| Mailing Telephone | 3109482157 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | CA73520 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376971275 | Diana Michael Mata | Social Worker | 3560 Warder St Nw, Washington, DC 20010-1700 | 2013-10-31 |
| 1285283325 | Diana Mata | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-09-11 |
| 1821354242 | Diana Veronica Mata | Psychiatry & Neurology | 15000 Broschart Rd, Rockville, MD 20850-3303 | 2012-04-10 |
| Street Address |
1421 MANHATTAN AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-5221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386846343 | Phong Quoc Ly | Pharmacist | 1421 Manhattan Ave, Fullerton, CA 92831-5221 | 2007-06-01 |
| 1003367418 | Dorothy Jin | Pharmacist | 1421 Manhattan Ave, Fullerton, CA 92831-5221 | 2016-10-20 |
| 1033669577 | Sevak Avanesi | Pharmacist | 1421 Manhattan Ave, Fullerton, CA 92831-5221 | 2016-10-07 |
| 1700235306 | Robert William Allen | Pharmacist | 1421 Manhattan Ave, Fullerton, CA 92831-5221 | 2016-06-06 |
| 1992153761 | Sharon Rho | Pharmacist | 1421 Manhattan Ave, Fullerton, CA 92831-5221 | 2016-06-02 |
| 1295181303 | Dorothy Masae Rosero | Technician, Other | 1421 Manhattan Ave, Fullerton, CA 92831-5221 | 2016-05-06 |
| 1366803546 | Brittany Michelle Maynard | Pharmacist | 1421 Manhattan Ave, Fullerton, CA 92831-5221 | 2016-03-15 |
| 1023491214 | David Kardos | Pharmacist | 1421 Manhattan Ave, Fullerton, CA 92831-5221 | 2015-07-07 |
| 1316329717 | Vanessa Camara | Pharmacist | 1421 Manhattan Ave, Fullerton, CA 92831-5221 | 2015-06-22 |
| 1972841674 | Frank Wilson Daniel | Pharmacist | 1421 Manhattan Ave, Fullerton, CA 92831-5221 | 2013-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756063 | Lola Bae | Pharmacist | 2731 Williamsburg Rd, Fullerton, CA 92833-1423 | 2020-09-27 |
| 1669003968 | Minh Hoang Trinh | Pharmacist | 1301 S Jefferson Ave, Fullerton, CA 92832-3119 | 2020-01-27 |
| 1568015675 | Jennifer Kang | Pharmacist | 717 Carhart Ave Apt B2, Fullerton, CA 92833-2300 | 2019-07-17 |
| 1851869713 | Mahesh Bhimabhai Patel | Pharmacist | 2128 Somerset Ln, Fullerton, CA 92833-5201 | 2018-11-08 |
| 1306341896 | Nhu Quyen Dau | Pharmacist | 2575 Yorba Linda Blvd Bldg Room248, Fullerton, CA 92831-1615 | 2018-03-27 |
| 1225547714 | Kajal Patel | Pharmacist | 2001 Calle Miranda, Fullerton, CA 92833-1828 | 2017-09-27 |
| 1598206997 | Michael Adeleke | Pharmacist | 2434 Tuscany Way, Fullerton, CA 92835-4208 | 2017-03-17 |
| 1265973861 | Brian T Pak | Pharmacist | 2279 Shapiro St, Fullerton, CA 92833-2145 | 2017-03-15 |
| 1609327097 | Amanda Wong | Pharmacist | 2068 Perkins St, Fullerton, CA 92833-5071 | 2016-10-20 |
| 1477908929 | Han Ngo | Pharmacist | 2151 N Harbor Blvd Ste 2200, Fullerton, CA 92835-3825 | 2016-05-03 |
| Find all providers in FULLERTON | ||||
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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.