Active NPI
James A Mathey, P.A.-C.
- Physician Assistant
- Banning, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17645
- Practice address
- 6109 W Ramsey St
Banning, CA 92220-3051 - Phone
- (951) 845-0313
- Fax
- (909) 796-4158
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17645 | CA | Primary |
Addresses
Primary practice location
6109 W Ramsey St
Banning, CA 92220-3051
Mailing address
111 W Jackson Rd
San Bernardino, CA 92408-4102
Phone (909) 213-5768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPA176450 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-1734
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients |
Locations
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
200 NE Mother Joseph Pl
Ste 400
Vancouver, WA 98664
Phone (360) 256-2640
2312 NE 129th St
Vancouver, WA 98686
Phone (360) 546-8950
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- jmathey58186@direct.peacehealth.org
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.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1104864933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W JACKSON RD",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924084102",
"telephone_number": "909-213-5768",
"fax_number": "909-824-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6109 W RAMSEY ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922203051",
"telephone_number": "951-845-0313",
"fax_number": "909-796-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEY",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OPA176450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.