Daniel Matemotja MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A35512 Issued in CA

Legal business name

DANIEL MATEMOTJA MD INC

Practice address

12131 Carson St
Hawaiian Gardens, CA 90716-1154

Phone

(562) 809-0299

Fax

(562) 809-2510

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Matemotja, MD

Title

Owner/Medical Doctor

Phone

(562) 809-0299

Specialties & licenses 1

Addresses

Tax ID family

Daniel Matemotja MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Daniel Matemotja MD Inc

  • General Practice Physician
  • Lynwood, CA
  • NPI 1467622076
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1063682979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 CARSON ST",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161154",
            "telephone_number": "562-809-0299",
            "fax_number": "562-809-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 CARSON ST",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161154",
            "telephone_number": "562-809-0299",
            "fax_number": "562-809-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MATEMOTJA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "MATEMOTJA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "562-809-0299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A35512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Sheila Ponce Demaree, APRN, FNP
• Alison Downing
• Dr. Herman Bell, D.O., a Medical Corporation
• Dragos Diaconescu MD a Medical Corporation
• Jocelyne Duarte

• General Practice Physician in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.