Active NPI
Seniora Mathews, M.D.
- Psychiatry Physician
- Beverly Hills, CA
National Provider Identifier
1104977875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A93922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A939220 | Other | CA | MEDI-CAL |
| 141604001 | Medicaid | AR | |
| EV392Z | Other | CA | MEDICARE PTAN |
Other names 1
- Dr. Seniora Matthews
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33788 | TN | MD | Pharmacist |
| E2121 | AR | MD | Psychiatry Physician |
| A93922 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Healing Behavioral Healthcare,P.a. | Psychiatry | Past | 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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Helena, AR
- NPI 1902075807
-
- Community/Behavioral Health Agency
- Helena, AR
- NPI 1184807273
-
- Psychiatry Physician
- North Little Rock, AR
- NPI 1285871293
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.