JASON MATA SR. (NPI# 1841650934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841650934 |
| Entity Type | Individual |
| Full Name | JASON MATA SR. |
| Practice Address |
1600 Buena Vista St San Antonio TX 78207-3801 |
| Practice Telephone | 2102127700 |
| Practice Fax Number | 2102127700 |
| Mailing Telephone | 2102127700 |
| Mailing Fax Number | 2102127700 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
Behavioral Health & Social Service Providers |
| Street Address |
1600 BUENA VISTA ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78207-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
| 1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
| 1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
| Find all providers in zip 78207 | ||||
| Taxonomy Code | 103TE1100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Exercise & Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998336 | Arclight Mbc LLC | Psychologist | 1535 Brady Blvd, Ste #2, San Antonio, TX 78237-4355 | 2020-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750927034 | Stamilie Trucking,inc. | Psychologist | 9501 Beechnut St Apt 516, Houston, TX 77036-6635 | 2019-11-21 |
| 1154895282 | Dts Fitness | Psychologist | 2515 E Rosemeade Pkwy Ste 400, Carrollton, TX 75007-2036 | 2019-01-11 |
| 1811473754 | Raymond Lee Carger | Psychologist | 25223 Wild Sage, Boerne, TX 78006-8543 | 2018-07-13 |
| 1588894380 | Faith Services Inc | Psychologist | 10814 S Kirkwood Rd, Houston, TX 77099-5009 | 2009-07-15 |
| 1285287276 | Kris Priddy | Psychologist | 6001 Lake Hubbard Pkwy, Garland, TX 75043-4727 | 2019-07-19 |
| 1154801835 | Ash and Jay Rental Properties LLC | Psychologist | 25223 Wild Sage, Boerne, TX 78006-8543 | 2018-08-21 |
| 1225225451 | 24/7 Services,inc | Psychologist | 12900 Preston Rd, Ste 1117, Dallas, TX 75230-1329 | 2007-10-02 |
| City | SAN ANTONIO |
| Zip Code | 78207 |
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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.