MATTHEW MALTEZOS (NPI# 1871130781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871130781 |
| Entity Type | Individual |
| Full Name | MATTHEW MALTEZOS |
| Credential | PEDORTHIST |
| Practice Address |
6536 E Spring St Long Beach CA 90815-1554 |
| Practice Telephone | 5624297777 |
| Mailing Telephone | 5624297777 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6536 E SPRING ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504022 | Tenni-moc's Shoe Store Inc | Durable Medical Equipment & Medical Supplies | 6536 E Spring St, Long Beach, CA 90815-1554 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993572 | Rachel Olivares | Pedorthist | 13193 Lavonda St, Eastvale, CA 92880-0789 | 2020-08-21 |
| 1295378891 | Jennifer Faria | Pedorthist | 301 Georgia St Ste 322, Vallejo, CA 94590-5945 | 2019-10-26 |
| 1134689607 | Jesse Bittle | Pedorthist | 1830 Hacienda Dr Ste 5, Vista, CA 92081-4544 | 2019-03-21 |
| 1467929307 | Jennifer Faria | Pedorthist | 438 Annette Ave, Vallejo, CA 94591-6574 | 2018-10-29 |
| 1730600222 | Chris Bonsall Sr. | Pedorthist | 1350 Grant Rd Ste 14b, Mountain View, CA 94040-3248 | 2017-07-05 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1548701675 | Gill L Majko | Pedorthist | 4941 E Walnut St # 7, Soquel, CA 95073-2433 | 2017-03-08 |
| 1740655448 | Michael Wells | Pedorthist | 1835 Chicago Ave, Unit A, Riverside, CA 92507-2378 | 2015-12-07 |
| 1659701993 | Harold Peters | Pedorthist | 685 Mary St, Redding, CA 96001-0310 | 2013-11-23 |
| 1508420589 | Argishti Madatyan | Pedorthist | 10639 Burbank Blvd, North Hollywood, CA 91601-2512 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on MATTHEW MALTEZOS.
| 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.