Active NPI
Yara Matta, MD
- Internal Medicine Physician
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A137962
- Practice address
- 25405 Hancock Ave Ste 202
Murrieta, CA 92562-5978 - Phone
- (760) 291-6700
- Fax
- (951) 405-4571
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A137962 | CA | |
| Internal Medicine Physician | 207R00000X | A137962 | CA | Primary |
Addresses
Primary practice location
25405 Hancock Ave Ste 202
Murrieta, CA 92562-5978
Mailing address
225 E 2ND Ave
Escondido, CA 92025-4249
Phone (760) 291-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25405 Hancock Ave
Murrieta, CA 92562-5978
Phone (760) 291-6700
31795 Rancho California Rd
Suite B 700
Temecula, CA 92591-2993
Phone (760) 291-6700
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137962 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graybill Medical Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
225 E 2nd Ave
Escondido, CA 92025
25405 Hancock Ave
Ste 202
Murrieta, CA 92562
Phone (619) 232-3040
25405 Hancock Ave
Ste 214
Murrieta, CA 92562
25405 Hancock Ave
Ste 207
Murrieta, CA 92562
Phone (951) 303-2277
31537 Rancho Pueblo Rd
Ste 102
Temecula, CA 92592
Phone (951) 303-2277
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Diego, CA
- NPI 1063726628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1073932133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E 2ND AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254249",
"telephone_number": "760-291-6700",
"fax_number": "951-405-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25405 HANCOCK AVE STE 202",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625978",
"telephone_number": "760-291-6700",
"fax_number": "951-405-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTA",
"first_name": "YARA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A137962",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A137962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.