PETER MATTAR INC. (NPI# 1851843775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851843775 |
| Entity Type | Organization |
| Organization Name | PETER MATTAR INC. |
| Practice Address |
1901 Town and Country Dr Ste. 104 Norco CA 92860-3611 |
| Mailing Address |
15076 Canon Ln Chino Hills CA 91709-5211 |
| Practice Telephone | 9099737772 |
| Mailing Telephone | 9099737772 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | DR. PETER MATTAR (OWNER) |
| Authorized Official Telephone | 9099737772 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1901 TOWN AND COUNTRY DR STE. 104 |
| City | NORCO |
| State | CA |
| Zip Code | 92860-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871544163 | Joanna Meshreky | Family Medicine | 1901 Town and Country Dr, Ste. 104, Norco, CA 92860-3611 | 2006-05-12 |
| 1790334696 | Keena Nicole Harrison | Registered Nurse | 1901 Town and Country Dr, Norco, CA 92860-3611 | 2019-09-04 |
| 1568835833 | Brigid Marie Riordan | Nurse Practitioner | 1901 Town and Country Dr, Suite 104, Norco, CA 92860-3611 | 2015-11-08 |
| 1528395365 | Tim Richard Doren | Physician Assistant | 1901 Town and Country Dr, Norco, CA 92860-3611 | 2009-11-16 |
| 1477726479 | Irene Cabral | Nurse Practitioner | 1901 Town and Country Dr, Suite 104, Norco, CA 92860-3611 | 2008-04-10 |
| 1306033709 | Citrus Valley Medical Associates, Inc. | Internal Medicine | 1901 Town and Country Dr, Suite 104, Norco, CA 92860 | 2007-09-28 |
| 1801006267 | Jeanette Castro | Family Medicine | 1901 Town and Country Dr, Ste. 104, Norco, CA 92860-3611 | 2007-05-23 |
| 1033211438 | Honesto C Pascual | Internal Medicine | 1901 Town and Country Dr, Ste. 104, Norco, CA 92860-3611 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466119 | Julie Chang | Pharmacist | 1101 Hidden Valley Parkway, Norco, CA 92860 | 2020-01-08 |
| 1629629241 | Abbey West Transportation LLC | Non-emergency Medical Transport (VAN) | 1791 Third St, Norco, CA 92860 | 2019-09-25 |
| 1457906745 | Corrections and Rehabilitation | Pharmacy | 5th and Western Ave, Module M, Room #104, Norco, CA 92860 | 2019-08-05 |
| 1942713417 | Pakravan Dental Corporation | Dentist | 2440 River Road, Suite 140, Norco, CA 92860 | 2017-11-07 |
| 1003202938 | Christina Cowell | Dental Assistant | 4033 Bluff St, Noroc, CA 92860 | 2015-04-07 |
| 1811301575 | Kenneth John Conlan | Counselor | 630 Winchester Dr., Norco, CA 92860 | 2014-06-19 |
| 1336489384 | Hyangsook Jung | Psychologist | 5th St. and Western Ave., Norco, CA 92860 | 2013-02-27 |
| 1386913275 | Shirley Nguyen | Pharmacist | 5th Street & Western Avenue, Norco, CA 92860 | 2011-12-21 |
| 1609168301 | Nicole Nadine Ortiz | Occupational Therapist | 2820 Clark Ave., Norco, CA 92860 | 2011-05-12 |
| 1861793739 | Peter A Petito | Psychologist | 5th and Western Ave., California Rehabilitation Center, Norco, CA 92860 | 2010-11-09 |
| Find all providers in zip 92860 | ||||
| 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 |
|---|---|---|---|---|
| 1912132754 | Nomar Corporation | Family Medicine | 1780 Town and Country Dr, Suite #103, Norco, CA 92860-3617 | 2009-05-22 |
| 1972742328 | Allcare Family Clinic Inc. | Family Medicine | 1781 3rd St, Norco, CA 92860 | 2009-02-09 |
| 1427266691 | Ramon Fakhoury | Family Medicine | 1780 Town and Country Dr Ste 103, Norco, CA 92860-3618 | 2007-05-19 |
| 1225132616 | Robert G Nelson | Family Medicine | 1901 Town and Country, Norco, CA 92860 | 2006-09-07 |
| 1528162989 | Melissa A Taylor | Family Medicine | 1901 Town and Country Dr Ste 104, Norco, CA 92860-3611 | 2006-09-07 |
| 1871544163 | Joanna Meshreky | Family Medicine | 1901 Town and Country Dr, Ste. 104, Norco, CA 92860-3611 | 2006-05-12 |
| 1134463532 | Iliana Aimee Aguila | Family Medicine | 1860 Hamner Ave, Norco, CA 92860-2945 | 2012-11-26 |
| 1801006267 | Jeanette Castro | Family Medicine | 1901 Town and Country Dr, Ste. 104, Norco, CA 92860-3611 | 2007-05-23 |
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| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
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| Find all providers with the same taxonomy | ||||
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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.