MATTHEW JOHN RAITH (NPI# 1538636774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538636774 |
| Entity Type | Individual |
| Full Name | MATTHEW JOHN RAITH |
| Practice Address |
1155 Third Ave Chula Vista CA 91911-3136 |
| Mailing Address |
25266 Barque Way Dana Point CA 92629-1403 |
| Practice Telephone | 6194988260 |
| Mailing Telephone | 9493104910 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1242790217 | RI | Behavioral Health & Social Service Providers |
| Street Address |
1155 THIRD AVE |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-3136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184826430 | Lina Solash Silva-cestero | Counselor | 1155 Third Ave, Chula Vista, CA 91911-3136 | 2007-05-31 |
| 1134766355 | Jessica Vigo | Licensed Vocational Nurse | 1155 Third Ave, Chula Vista, CA 91911-3136 | 2019-12-06 |
| 1417515032 | Deborah Guerrero | Counselor | 1155 Third Ave, Chula Vista, CA 91911-3136 | 2019-05-29 |
| 1669939047 | Ashley Angelina Rodriguez | Counselor | 1155 Third Ave, Chula Vista, CA 91911-3136 | 2019-02-21 |
| 1871070201 | Bernice Cuervo | Counselor | 1155 Third Ave, Chula Vista, CA 91911-3136 | 2018-07-27 |
| 1710493051 | Candace Boatwright | Counselor | 1155 Third Ave, Chula Vista, CA 91911-3136 | 2017-12-22 |
| 1881134120 | Lillian Ramirez | Licensed Vocational Nurse | 1155 Third Ave, Chula Vista, CA 91911-3136 | 2017-03-06 |
| 1922541689 | Angelique Meister | Counselor | 1155 Third Ave, Chula Vista, CA 91911-3136 | 2016-11-29 |
| 1598207573 | Jesus Manuel Castro Jr. | Counselor | 1155 Third Ave, Chula Vista, CA 91911 | 2016-11-08 |
| 1952705899 | Alden Lee Blizzard | Counselor | 1155 Third Ave, Chula Vista, CA 91911-3136 | 2014-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288088 | Rhett Creel | Counselor | 1172 Third Ave Ste D, Chula Vista, CA 91911-3116 | 2020-06-01 |
| 1841848157 | Leanna Marie Amundson | Counselor | 1180 3rd Ave Ste C3c4, Chula Vista, CA 91911-3139 | 2019-08-29 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1568924884 | Irene Merritt | Counselor | 1172 Third Ave Ste D1, Chula Vista, CA 91911-3116 | 2019-04-04 |
| 1124585542 | Ronald Laurence Smith | Counselor | 73 N 2nd Ave, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1841757267 | Jesus Abel Rodriguez | Counselor | 73 N 2nd Ave Apt B, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1053887414 | Javier A Ballesteros | Counselor | 1095 Bay Blvd, Chula Vista, CA 91911-1648 | 2018-10-23 |
| 1942704051 | Elias Khathori Najor | Counselor | 1180 Third Ave Ste 3, Chula Vista, CA 91911-3139 | 2018-03-22 |
| 1033610035 | Sadie Marie Callanan | Counselor | 1180 Third Ave, Chula Vista, CA 91911-3139 | 2018-02-24 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on MATTHEW JOHN RAITH.
| 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.