Matrix Medical Network of Arizona, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MATRIX MEDICAL NETWORK OF ARIZONA, LLC

Practice address

9201 East Mountain View Road
Suite 220
Scottsdale, AZ 85258

Phone

(480) 862-1700

Fax

(480) 907-1324

NPI assigned

Nov 10, 2010

Last updated

Dec 10, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY CARE HEALTH NETWORK, INC.As reported in NPPES

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

Authorized official

Name

Victoria Alvarez

Title

Director, Credentialing

Phone

(480) 862-1695

Specialties & licenses 1

Addresses

Part of

Community Care HLTH LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Community Care Health Network LLC

  dba CCHN

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1154069763
  NPPES parent name

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1245531052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 EAST MOUNTAIN VIEW ROAD",
            "address_2": "SUITE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585172",
            "telephone_number": "480-862-1700",
            "fax_number": "480-907-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 EAST MOUNTAIN VIEW ROAD",
            "address_2": "SUITE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-862-1700",
            "fax_number": "480-907-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MEDICAL NETWORK OF ARIZONA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CARE HEALTH NETWORK, INC.",
        "enumeration_date": "2010-11-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING",
        "authorized_official_telephone_number": "480-862-1695"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joao Pedro Matias Lopes, M.D.
• Rekha Matken
• Souad Matkin
• Katherine Alma Matley, M.S., CCC-SLP
• Matrix Clinical Solutions LLC
• Matrix Medical Network of Indiana, P.C. (Matrix Medical Network)
• Matrix Medical Network of South Dakota (Matrix Medical Network)
• Matrix Medical Network of West (Matrix Medical Network)
• Matthew Bradley Matson, RN
• Krista Leigh Matsueda, RN

• Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.