Individual provider Active NPI

Malethea J Mathurin, NURSE

  • Attendant Care Provider
  • Glendale, CA
National Provider Identifier
1124989942
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
00713689 Issued in CA
Practice address
367 N Chevy Chase Dr Ste B
Glendale, CA 91206-6032
Phone
(909) 452-9700
Fax
(909) 452-9700
NPI assigned
Nov 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X 00713689 CA Primary

Addresses

Primary practice location

367 N Chevy Chase Dr Ste B
Glendale, CA 91206-6032

Mailing address

367 N Chevy Chase Dr Ste B
Glendale, CA 91206-6032
Phone (909) 452-9700

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00713689CAMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1124989942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 N CHEVY CHASE DR STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912066032",
            "telephone_number": "909-452-9700",
            "fax_number": "909-452-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 N CHEVY CHASE DR STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912066032",
            "telephone_number": "909-452-9700",
            "fax_number": "909-452-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHURIN",
        "first_name": "MALETHEA",
        "middle_name": "J",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "CA",
            "license": "00713689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.