MR. RYAN A MATLOCK


Address: 4300 Long Beach Blvd, Long Beach, CA 90807-2011
Phone: 3107834677

MR. RYAN A MATLOCK (NPI# 1316185317) 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) 1316185317
Entity Type Individual
Full Name MR. RYAN A MATLOCK
Practice Address 4300 Long Beach Blvd
Long Beach
CA 90807-2011
Mailing Address 7431 Colby Cir
Westminster
CA 92683-6157
Practice Telephone 3107834677
Mailing Telephone 7142449672
Enumeration Date 2009-01-28
Last Update Date 2011-08-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker Other Service Providers

Office Location

Street Address 4300 LONG BEACH BLVD
City LONG BEACH
State CA
Zip Code 90807-2011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639173107 Marlene Rocha Farooq Family Medicine 4300 Long Beach Blvd, Suite 410, Long Beach, CA 90807-2011 2005-06-12
1588149967 Camryn Nguyen Speech-Language Pathologist 4300 Long Beach Blvd, Long Beach, CA 90807-2011 2018-10-01
1114432317 Laura Jo Roth Psychologist 4300 Long Beach Blvd, Long Beach, CA 90807-2011 2017-12-10
1861929937 Doris Sandoval Durable Medical Equipment & Medical Supplies 4300 Long Beach Blvd, Long Beach, CA 90807-2011 2017-05-19
1700325248 Pacific Psych Solutions Inc Psychologist 4300 Long Beach Blvd, Ste 340, Long Beach, CA 90807-2011 2017-02-16
1679959803 Vanessa Gaytan Counselor 4300 Long Beach Blvd, Suite 700, Long Beach, CA 90807-2011 2015-08-11
1548646474 Rick Velasco Case Manager/Care Coordinator 4300 Long Beach Blvd, Suite 700, Long Beach, CA 90807-2011 2015-08-03
1508241811 Jaenai Rodriguez Counselor 4300 Long Beach Blvd, Suite 700, Long Beach, CA 90807-2011 2015-07-28
1447638739 Vanessa Hernandez Jimenez Case Manager/Care Coordinator 4300 Long Beach Blvd, Suite 700, Long Beach, CA 90807-2011 2015-05-07
1770984619 Marji Elizabeth Peterson Marriage & Family Therapist 4300 Long Beach Blvd, Suite 700, Long Beach, CA 90807-2011 2014-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992359434 Kanna Lynn Curtis Behavioral Analyst 3491 Elm Avenue, Long Beach, CA 90807 2019-08-01
1891359394 David Smith Samuel Tchon Dds Inc Dentist 4231 Long Beach Blvd, Long Beach, CA 90807 2019-04-30
1477038354 Ryan Bacani Registered Nurse 4506 N Banner Drive Apt 3, Long Beach, CA 90807 2018-09-26
1508363516 Joemari Salvani Dentist 4578 Atlantic Avenue, Long Beach, CA 90807 2018-04-07
1881110096 Shafeeullah Hashim Gaines Counselor 4335 Altantic Ave, Long Beach, CA 90807 2017-08-18
1295259943 Debresia Jackson Community Health Worker 900 E. Wardlow Rd, Long Beach, CA 90807 2017-08-02
1073036315 United Mobile Rad LLC Radiologic Technologist 1720 E Cartagena St, Long Beach, CA 90807 2017-07-19
1336675800 La-pham and Kansagra Dental Corporation Dentist 4578 Atlantic Ave, Long Beach, CA 90807 2017-05-03
1114462637 Andunett Langhum Counselor 4335 Atlantic Blved, Long Beach, CA 90807 2016-12-20
1942742507 Mt Medical Transportation LLC Non-emergency Medical Transport (VAN) 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 2016-11-14
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083246961 Romina Zitofsky Community Health Worker 65 Pacific Blvd, Long Beach, NY 11561 2020-02-07
1437624913 Blanca C Gonzalez Community Health Worker 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 2018-10-10
1841788098 Lem Chorng Community Health Worker 2153 East Anaheim Street,long Beach,ca 90804, Long Beach, CA 90804-3402 2018-04-24
1083122329 Marisol Flores Community Health Worker 1045 Atlantic Ave Ste 705, Long Beach, CA 90813-3412 2018-01-22
1669997433 Serey Tep Community Health Worker 5056 Brayton Ave, Long Beach, CA 90807-1106 2017-08-13
1295259943 Debresia Jackson Community Health Worker 900 E. Wardlow Rd, Long Beach, CA 90807 2017-08-02
1639628886 Assavuth Kim Community Health Worker 1471 Cherry Avenue, Long Beach, CA 90813 2016-09-29
1568910719 Andrea Corona Community Health Worker 850 W Wardlow Rd, Long Beach, CA 90806 2016-09-16
1073988432 Som Eare Community Health Worker 2153 E Anaheim St, Long Beach, CA 90804-3402 2015-12-09
1538400015 Mui Lian Cheun Community Health Worker 1355 Redondo Ave, Suite #9, Long Beach, CA 90804-2846 2013-03-08
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Competitor

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City LONG BEACH
Zip Code 90807

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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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