Amatallc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

AMATALLC

Practice address

222 W 6TH St
Corona, CA 92882-3301

Phone

(909) 379-9237

Fax

(888) 507-7087

NPI assigned

Sep 8, 2022

Last updated

Sep 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mason Matthew Terry

Title

Office Manager

Phone

(909) 379-9237

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1164143020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823301",
            "telephone_number": "909-379-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823301",
            "telephone_number": "909-379-9237",
            "fax_number": "888-507-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMATALLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-379-9237",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Netalytics",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "222 W 6th St",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928823301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven Alyassi, PT
• Am-J Behavioral Health and Psychiatric Services a Nursing PC
• Heather Amador
• Enakeno Amagada
• Akua F. Amankwaah, RDN
• Matthew Edward Amaya
• Myrna Isabel Amaya Jr.
• Michael Mercado Ambal
• Adrian Jacques Halcyon Ambrose, M.D.
• Amen Non-Emergency Medical

• Methadone Clinic in Corona, CA
• Providers in Corona, CA by specialty
• Methadone Clinic in California

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