Individual provider Active NPI

Adriana Marie Matos, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1174091508
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17148 Issued in TX
Practice address
3001 Palm Way Ste D134
Austin, TX 78758-7963
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Nov 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17148 TX Primary

Addresses

Primary practice location

3001 Palm Way Ste D134
Austin, TX 78758-7963

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice location 1

250 W 5th St
Hanford, CA 93230-5029
Phone (305) 322-7661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191209002732 CA Practitioner - Physician Assistant 2264865047 Reassigns benefits to 1 organization
I20230730000207 FL Practitioner - Physician Assistant 2264865047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8400 NW 33Rd St
Suite 201
Doral, FL 33122-1937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57328CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC Single Specialty CurrentSince May 27, 2023 Accepting new patients
Family Healthcare Network Single Specialty CurrentSince Nov 4, 2019 Accepting new patients
Family Healthcare Network Single Specialty Current Accepting new patients
Family Healthcare Network Single Specialty Current Accepting new patients
Meharry Health Network, PC Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Family Healthcare Network Single Specialty Current Accepting new patients
Family Healthcare Network Single Specialty Current Accepting new patients
Family Healthcare Network CurrentSince Nov 4, 2019 Accepting new patients
Family Healthcare Network Single Specialty Current Accepting new patients

Locations

250 W 5th St
Hanford, CA 93230
Phone (559) 300-2686

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

201 E Lakeview Ave
Woodlake, CA 93286
Phone (559) 564-0100

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 10

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": "1541203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1174091508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PALM WAY STE D134",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587963",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932305029",
            "country_code": "US",
            "telephone_number": "305-322-7661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOS",
        "first_name": "ADRIANA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-03",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.