Christian Mata

Primary specialty

DentistTaxonomy code 122300000X

License

111655 Issued in CA

Practice address

400 S Sepulveda Blvd Ste 280
Manhattan Beach, CA 90266-6866

Phone

(310) 406-0745

NPI assigned

Nov 11, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1174493456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12146 ABINGTON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD STE 280",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666866",
            "telephone_number": "310-406-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "111655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reed Maruyama, AMFT, AT
• Mary Bos, D.O., a Medical Corporation
• Maryam Bakhtiyari, D.D.S Professional Dental Corp
• Camille Garcia Marzan, DC
• Emily E Masi, FNP-BC; PMHNP-BC
• Rincy Mathew, LMFT
• Marcia Matika, DPM
• Matin Medicine, Inc.
• Christina Birgitta Matso, PH.D. , MFT
• Jenna Mattingly, BCBA

• Dentist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.