MR. JULIO C MATA (NPI# 1962719658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962719658 |
| Entity Type | Individual |
| Full Name | MR. JULIO C MATA |
| Credential | CSFA |
| Practice Address |
426 Concord Pl San Antonio TX 78201 |
| Mailing Address |
426 Concord Pl San Antonio TX 78201-2625 |
| Practice Telephone | 2106874214 |
| Mailing Telephone | 2106874214 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
129578 | TX | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
129578 | TX | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437710381 | Julio Mata | Behavioral Analyst | 6101 W Centinela Ave Ste 380, Culver City, CA 90230-6367 | 2019-06-21 |
| 1346270154 | Julio Mata | Radiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2006-07-04 |
| Street Address |
426 CONCORD PL |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356831028 | Mata Surgical Assisting | Specialist/Technologist, Other | 426 Concord Pl, San Antonio, TX 78201-2625 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864648 | Woodlawn Lake Dental Partners Pllc | Dentist | 1707 Williams, San Antonio, TX 78201 | 2019-07-31 |
| 1912559840 | Tara Devi Nath | Dentist | 1770 Williams, San Antonio, TX 78201 | 2019-07-11 |
| 1205329042 | Louis A Gonzalez | Registered Nurse | 2362 W Gramercy Pl, San Antonio, TX 78201 | 2018-06-06 |
| 1194212860 | Zarzamora Healthcare LLC | Pharmacy | 6800 W Ih 10 # 200a, San Antonio, TX 78201 | 2018-04-18 |
| 1891211926 | Jessica Ann Salazar | Specialist/Technologist | 511 Crestview Dr, San Antonio, TX 78201 | 2017-08-21 |
| 1093262172 | Access Dental of Fredericksburg Pa | Dentist | 4315 Fredericksburg Balcones Height, 100a, San Antonio, TX 78201 | 2016-09-06 |
| 1144664962 | Raymond Evan Skunda | Orthopaedic Surgery | 6800 W Ih 10 Ste 250, San Antonio, TX 78201 | 2013-04-23 |
| 1114289477 | Shaun D Perryman | Dentist | 4522 Fredericksbug Rd., Ste A28, San Antonio, TX 78201 | 2012-06-13 |
| 1871872093 | Jose Miguel Urencio Marcue | Surgery | 6800 W Ih 10 Ste 200, San Antonio, TX 78201 | 2011-08-04 |
| 1770751349 | Unlimited Health Services | Nurse's Aide | 1424 Fredericksburg Rd, San Antonio, TX 78201 | 2008-02-15 |
| Find all providers in zip 78201 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306492 | Jennifer Suzanne Tatsch-gleason | Specialist/Technologist, Other | 7700 Floyd Curl Dr., San Antonio, TX 78229-3902 | 2020-11-03 |
| 1356941652 | Synergistic Surgical Assistant | Specialist/Technologist, Other | 7414 Brookport, San Antonio, TX 78238-3528 | 2020-10-27 |
| 1437761137 | Anna L Locke | Specialist/Technologist, Other | 134 Dunning Ave, San Antonio, TX 78210-2816 | 2020-08-24 |
| 1790307866 | Daniel Adrian Garcia | Specialist/Technologist, Other | 3710 Pipers Cross St, San Antonio, TX 78251-1610 | 2020-05-12 |
| 1912530593 | Jasmine N Rice | Specialist/Technologist, Other | 26730 Villa Toscana, San Antonio, TX 78260-2582 | 2020-02-21 |
| 1790317949 | Precision Surgery Partners,llc | Specialist/Technologist, Other | 10650 Culebra Rd Ste 104-280, San Antonio, TX 78251-4949 | 2020-02-05 |
| 1215593892 | Jorge Humberto Landa Jr. | Specialist/Technologist, Other | 20659 Stone Oak Pkwy Apt 1810, San Antonio, TX 78258-7534 | 2019-05-19 |
| 1760948129 | David Daniel Aleman | Specialist/Technologist, Other | 5370 Verbena Rd, San Antonio, TX 78240-1737 | 2019-02-11 |
| 1760955769 | Joshua Ramirez | Specialist/Technologist, Other | 827 Cormorant, San Antonio, TX 78245-1313 | 2019-01-02 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78201 |
Please comment or provide details below to improve the information on MR. JULIO C MATA.
| 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.