Active NPI
Jaime Mateus
- Specialist
- Hawthorne, CA
National Provider Identifier
1225972011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1 Rocket Rd
Hawthorne, CA 90250-6844 - Phone
- (617) 308-0652
- NPI assigned
- Apr 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1 Rocket Rd
Hawthorne, CA 90250-6844
Mailing address
622 N Guadalupe Ave Unit C
Redondo Beach, CA 90277-3069
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1225972011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 N GUADALUPE AVE UNIT C",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROCKET RD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902506844",
"telephone_number": "617-308-0652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEUS",
"first_name": "JAIME",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-14",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.