MATTHEW PHILLIP MATA (NPI# 1144835729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144835729 |
| Entity Type | Individual |
| Full Name | MATTHEW PHILLIP MATA |
| Practice Address |
506 W Jackman St Lancaster CA 93534-2531 |
| Practice Telephone | 6617262850 |
| Mailing Telephone | 6617262850 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265823546 | Matthew Mata | Counselor | 800 S Santa Anita Ave, Arcadia, CA 91006-3536 | 2015-02-09 |
| Street Address |
506 W JACKMAN ST |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821072950 | Willard Quirk Jr. | Psychiatry & Neurology | 506 W Jackman St, Lancaster, CA 93534-2531 | 2005-12-01 |
| 1205435815 | Chad Costello | Social Worker | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-10-23 |
| 1699388512 | Randy Amir Flores | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-08-29 |
| 1053936963 | Vicki Lee Mckay | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-06-16 |
| 1346865359 | Katherine I Martinez | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-06-15 |
| 1679192157 | Michelle Rene Collier | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-04-14 |
| 1427684521 | Jason Briseno | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-03-20 |
| 1609402981 | Christine Paz | Licensed Vocational Nurse | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-03-18 |
| 1871126086 | Abayomi Adetokunbo Taiwo | Social Worker | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-02-16 |
| 1649814864 | Daniel Capistran Wyze | Licensed Vocational Nurse | 506 W Jackman St, Lancaster, CA 93534-2531 | 2019-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1194372664 | Dustin Rakim Mohammed | Case Manager/Care Coordinator | 44300 Lowtree Ave Ste 102, Lancaster, CA 93534-4171 | 2019-08-20 |
| 1114570736 | Melissa Ann Miller | Case Manager/Care Coordinator | 103 Cedar Hill Rd, Lancaster, OH 43130-3637 | 2019-07-23 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1417454760 | Donna Jefferson | Case Manager/Care Coordinator | 506 W Jackman St # Oc, Lancaster, CA 93534-2531 | 2018-04-11 |
| 1710405907 | Dianna Sanchez | Case Manager/Care Coordinator | 45111 Fern Avenue, Lancaster, CA 93534 | 2017-09-07 |
| 1659817120 | Prentice Easter | Case Manager/Care Coordinator | 949 Sprucewood Dr, Lancaster, TX 75146-1319 | 2017-01-09 |
| 1255702031 | Tika Griffin | Case Manager/Care Coordinator | 3223 Millstone Creek Rd, Lancaster, SC 29720-6923 | 2015-10-19 |
| 1588050165 | Amilcar R Ramirez | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, Ca 93534, Lancaster, CA 93534 | 2015-04-10 |
| 1053723379 | Life Intensity Counseling and Case Managment | Case Manager/Care Coordinator | 2805 Yellow Rose Ln, Lancaster, TX 75134-2378 | 2014-05-21 |
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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.