MINA MATTA (NPI# 1154897999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154897999 |
| Entity Type | Individual |
| Full Name | MINA MATTA |
| Credential | PROVIDER |
| Practice Address |
16333 Green Tree Blvd Unit 3364 Victorville CA 92393-7135 |
| Practice Telephone | 7609008044 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
16333 GREEN TREE BLVD UNIT 3364 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92393-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669675237 | Anthony Michael Mcadams | Counselor | 13333 Palmdale Rd., Victorville, CA 92393 | 2007-06-08 |
| 1043528706 | Alina Hamrick | Midwife | 16333 Green Tree Blvd #702, Victorville, CA 92393-7030 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1285234708 | Sonya N Green | Behavior Technician | 13552 Coolwater St, Victorville, CA 92392-8914 | 2020-10-26 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1184223943 | Quincy Eugene Mccullough | Assisted Living Facility | 15693 Choctaw St, Victorville, CA 92395-5531 | 2020-10-22 |
| 1477150142 | Jennifer Messer | Community Health Worker | 14344 Cajon Ave Ste 102-103, Victorville, CA 92392-4300 | 2020-10-06 |
| 1326645391 | H Dijon Hyder | Driver | 15000 7th St Ste 208c, Victorville, CA 92395-3853 | 2020-10-02 |
| 1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
| 1285249300 | Janette Lopez | Assistant Behavior Analyst | 15490 Civic Dr, Victorville, CA 92392-2924 | 2020-09-15 |
| 1841804101 | Desert Valley Medical Group, Inc. | Anesthesiology | 11883 Amethyst Rd Ste 202, Victorville, CA 92392-9225 | 2020-09-03 |
| 1164036646 | Dr.juliane Lee,optometrist, A Professional Corporation | Optometrist | 14309 Bear Valley Rd Ste B, Victorville, CA 92392-7648 | 2020-09-02 |
| Find all providers in VICTORVILLE | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467011973 | Syed Adeel Abedi | Non-emergency Medical Transport (VAN) | 11106 Baldy Mesa Rd, Victorville, CA 92392-1840 | 2019-06-08 |
| 1972161040 | Realm Transport Inc. | Non-emergency Medical Transport (VAN) | 14765 Manzano Rd, Victorville, CA 92392-9207 | 2019-06-03 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1740660471 | Omega Medical Non Emergency Transport Inc. | Non-emergency Medical Transport (VAN) | 12458 Cricket Ln, Victorville, CA 92392 | 2015-06-08 |
| 1881930642 | Safety Transportation Services | Non-emergency Medical Transport (VAN) | 8356 Svl Box, Victorville, CA 92395-5124 | 2012-12-26 |
| 1326328584 | Pro Line Transportation LLC | Non-emergency Medical Transport (VAN) | 10604 Karen Dr, Victorville, CA 92394 | 2011-08-19 |
| 1275839144 | American Logistics Management | Non-emergency Medical Transport (VAN) | 16014 Greyrock St, Victorville, CA 92395-8628 | 2011-02-09 |
| 1891007183 | Green Med Trans, Inc. | Non-emergency Medical Transport (VAN) | 14359 Amargosa Rd Ste B, Victorville, CA 92392-2334 | 2010-07-02 |
| 1982920807 | Victory Med-trans Inc. | Non-emergency Medical Transport (VAN) | 15000 7th St, Suite # F 212, Victorville, CA 92395-3854 | 2010-04-16 |
| 1831303460 | Med-cab, Inc. | Non-emergency Medical Transport (VAN) | 14242 Oxford Pl, Victorville, CA 92395-4331 | 2007-05-10 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92393 |
Please comment or provide details below to improve the information on MINA MATTA.
| 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.