Individual provider Active NPI

Seniora Mathews, M.D.

  • Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1104977875
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A93922 Issued in CA
Practice address
468 N Camden Dr
Ste 353
Beverly Hills, CA 90210-4507
Phone
(310) 601-3074
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33788 TN
Psychiatry Physician 2084P0800X 17480 MS
Psychiatry Physician 2084P0800X E2121 AR
Psychiatry Physician 2084P0800X A93922 CA Primary

Addresses

Primary practice location

468 N Camden Dr
Ste 353
Beverly Hills, CA 90210-4507

Mailing address

3422 Business Center Dr.
Ste 106 Box 46
Pearland, TX 77584-0118
Phone (870) 530-1038

Other practice location 1

4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (678) 690-7250

Other identifiers 3

IdentifierTypeStateIssuer
00A939220OtherCAMEDI-CAL
141604001MedicaidAR
EV392ZOtherCAMEDICARE PTAN

Other names 1

  • Dr. Seniora Matthews Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33788TNMDPharmacist
E2121ARMDPsychiatry Physician
A93922CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Healing Behavioral Healthcare,P.a. Psychiatry PastSince Apr 19, 2001 Accepting new patients
Counseling and Education Center, Inc. Past Accepting new patients
Counseling and Education Center, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1104977875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 BUSINESS CENTER DR.",
            "address_2": "STE 106 BOX 46",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840118",
            "telephone_number": "870-530-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 N CAMDEN DR",
            "address_2": "STE 353",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104507",
            "telephone_number": "310-601-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93702",
            "country_code": "US",
            "telephone_number": "678-690-7250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "SENIORA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "33788",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "17480",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E2121",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A93922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A939220",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141604001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EV392Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SENIORA",
            "last_name": "MATTHEWS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.