ASHLEY DEBORAH MATATIAHO


Address: 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312
Phone: 3234425100

ASHLEY DEBORAH MATATIAHO (NPI# 1871078998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871078998
Entity Type Individual
Full Name ASHLEY DEBORAH MATATIAHO
Credential PA-C
Practice Address 1520 San Pablo St Ste 1000
Los Angeles
CA 90033-5312
Mailing Address Po Box 31309
Los Angeles
CA 90031-0309
Practice Telephone 3234425100
Mailing Telephone 3234425100
Enumeration Date 2018-09-25
Last Update Date 2020-10-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA56050 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1520 SAN PABLO ST STE 1000
City LOS ANGELES
State CA
Zip Code 90033-5312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851396717 Elizabeth S Taylor-albert Internal Medicine 1520 San Pablo St Ste 1000, Los Angeles, CA 90033 2005-06-16
1982221958 Toby Maher Internal Medicine 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 2020-06-25
1336709559 Jenese Julissa Silva Physician Assistant 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 2019-06-19
1538630918 Kimberly Rose Schiff Nurse Practitioner 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 2018-12-11
1902374572 Michael Tuanqui Nurse Practitioner 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 2018-11-12
1578031761 Catherine Guillen Physician Assistant 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 2018-11-06
1063994515 Leah Alaine Riggs Capra Nurse Practitioner 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 2018-08-31
1063903771 Brittany Gurney Dietitian, Registered 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 2018-05-29
1922599679 Hienanh Michelle Nguyen Dietitian, Registered 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 2018-05-29
1649784208 Anne Kathryn Hainley Nurse Practitioner 1520 San Pablo St Ste 1000, Los Angeles, CA 90033-5312 2017-11-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376165050 Noa Yee Student in an Organized Health Care Education/Training Program 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 2020-05-15
1629690144 Monica Lopez Respiratory Therapist, Registered 1251 Marengo St, Los Angeles, CA 90033 2020-05-07
1649890401 Antonio Hernandez Saenz Student in an Organized Health Care Education/Training Program 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 2020-04-22
1417585100 Kelsey Grace Shea Student in an Organized Health Care Education/Training Program 1200 N State St Ird 112, Los Angeles, CA 90033 2020-03-30
1891322780 Carolyn Kan Student in an Organized Health Care Education/Training Program 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 2020-03-23
1902445786 Maury M Hopkins Registered Nurse 1883 Marengo Street, Los Angeles, CA 90033 2019-12-27
1982259792 Beverly Austin Mccabe Registered Nurse 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 2019-08-08
1093369399 Christine Yoon Pharmacist 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 2019-07-25
1073075339 Johanna Keller Student in an Organized Health Care Education/Training Program La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 2019-04-04
1386115137 Sonya Lorain Earley Physician Assistant 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 2018-12-05
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386115137 Sonya Lorain Earley Physician Assistant 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 2018-12-05
1942738943 Sophavy Suon Physician Assistant 11611 San Vicente Blvd Lbby Level, Los Angeles, CA 90049-5106 2017-06-02
1619429503 Rachel Frankenthal Physician Assistant 200 Medical Plz Ste 220, Ucla Department of Obgyn, Los Angeles, CA 90095-0001 2016-10-26
1982152815 Accessmed A Physician Assistant Professional Corporation Physician Assistant 1055 W 7th St Fl 33, Los Angeles, CA 90017-2577 2016-09-20
1043766363 Amber Joy Rangel Physician Assistant 2523 Armacost Ave, Los Angeles, CA 90064-2715 2016-08-28
1184080459 Doreen Yasharel Physician Assistant 824 S Wooster St Apt 306, Los Angeles, CA 90035-1745 2016-01-02
1649649443 Thuy Vo Physician Assistant 5841 Bowcroft St, Unit 2, Los Angeles, CA 90016-4955 2015-09-22
1649655663 Carlee Ettinger Physician Assistant 2751 Rinconia Dr, Los Angeles, CA 90068-2227 2015-07-21
1841681467 Lauren Layson Physician Assistant 4049 Via Marisol, Los Angeles, CA 90042-5055 2015-02-18
1871981282 Dianne Desiree Rivera Navoa Physician Assistant 8631 W 3rd St Ste 1035e, Los Angeles, CA 90048-5964 2015-01-07
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Competitor

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City LOS ANGELES
Zip Code 90033

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Dataset Information

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.

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