James Monroe Matejcek, R.N

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

840534 Issued in CA

Practice address

2030 East 4TH Street
115D
Santa Ana, CA 92705

Phone

(714) 541-1100

NPI assigned

May 14, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Lifestream Hope & Wellness Center, Inc.

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1376982132
  NPD (past)

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1255777538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 VIA TOSCANA UNIT 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798005",
            "telephone_number": "714-393-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 EAST 4TH STREET",
            "address_2": "115D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-541-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEJCEK",
        "first_name": "JAMES",
        "middle_name": "MONROE",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "840534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN",
            "identifier": "840534",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doreen Mata
• Giselle Alicia Mata, FNP
• Jaime Mata, DDS
• James Steven Mata
• Mark Mata
• Alizah Mae Mateo, PA-C
• Noemi Mateos Lopez, ACSW, PPSC
• Jennifer Mateos
• Maternal Outreach Management System
• Lauren Matheney

• Registered Nurse in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.