Matilda Family Medicine

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

PA2363 Issued in AZ

Legal business name

MATILDA FAMILY MEDICINE

Practice address

5832 W San Miguel Ave Ste 6
Glendale, AZ 85301-5907

Phone

(623) 435-3513

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Valentine Okon, P.A.

Title

Ceo

Phone

(623) 435-3513

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1083742449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853400232",
            "telephone_number": "623-435-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 W SAN MIGUEL AVE STE 6",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015907",
            "telephone_number": "623-435-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATILDA FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "OKON",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-435-3513",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "PA2363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Mathew
• Scott Mathews, PT, DPT
• Alyssa Mathis
• Brittany Mathis
• Tigger R Mathis, MSN,APN,FNP
• Gibson Matimbire, PHARMD
• Lisa Mattei, LPN
• Matthew D Skinner, MD, P.C.
• Rafed Matti, D.D.S.
• Lara Mattingly

• Health Maintenance Organization in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Health Maintenance Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.