Individual provider Active NPI

Justin Alexander Matar

  • Psychiatric/Mental Health Nurse Practitioner
  • Corona, CA
National Provider Identifier
1265193080
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95026056 Issued in CA
Practice address
765 N Main St Ste 127
Corona, CA 92878-1440
Phone
(951) 216-3549
Fax
(951) 419-4348
NPI assigned
Jan 4, 2022
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95026056 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95026056 CA Primary

Addresses

Primary practice location

765 N Main St Ste 127
Corona, CA 92878-1440

Mailing address

140 Breeders Cup PL
Norco, CA 92860-5100
Phone (949) 836-7487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240429002354 CA Practitioner - Nurse Practitioner 6204276926 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Prime Consult and Care IncGroup PAC ID 0840718037, 3 clinicians

Practice addresses (Care Compare)

134 1 St W K
Kalispell, MT 59901-4402
Phone (951) 216-3549

1945 Palo Verde Ave
Suite 207
Long Beach, CA 90815-3445
Phone (562) 354-0002

4049 Brockton Ave
Riverside, CA 92501-3440
Phone (951) 300-8124

765 N Main St
Suite 127
Corona, CA 92878-1440
Phone (951) 444-5820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95026056CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weber Counseling Services a Licensed Clinical Social Worker PR CurrentSince Sep 1, 2025 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health Current Accepting new patients
Prime Consult and Care Inc CurrentSince Jan 20, 2026 Accepting new patients
Tarlani Corp. PastSince Jan 1, 2022 Accepting new patients
Renewing Hope Family Counseling Center, Inc PastSince Jan 28, 2024 Accepting new patients
Cajon Medical Group, PC Past Accepting new patients
Cajon Medical Group PC Past Accepting new patients
Tarlani Corp. PastSince Jan 1, 2022 Accepting new patients
Brainpower Wellness Institute Nursing Corporation Psychiatric/Mental Health PastSince Nov 1, 2024 Accepting new patients
Alondra Loya PastSince Jun 15, 2025 Accepting new patients
Placid Psychiatry a Professional Corporation PastSince May 9, 2026 Accepting new patients

Locations

5101 E La Palma Ave
Ste 117
Anaheim, CA 92807

4160 Temescal Canyon Rd
Ste 408
Corona, CA 92883
Phone (951) 344-4451

765 N Main St
Ste 127
Corona, CA 92878
Phone (951) 216-3549

1945 Palo Verde Ave
Ste 207
Long Beach, CA 90815
Phone (562) 354-0002

26040 Acero
#104
Mission Viejo, CA 92691

26040 Acero
Ste 104
Mission Viejo, CA 92691
Phone (949) 503-0002

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

308 W State St
Ste 3D
Redlands, CA 92373
Phone (909) 566-9669

3610 Central Ave
Ste 400
Riverside, CA 92506
Phone (909) 300-5754

4049 Brockton Ave
Riverside, CA 92501
Phone (951) 300-8124

36320 Inland Valley Dr
Ste 303
Wildomar, CA 92595
Phone (951) 373-6803

134 1st St W
Ste K
Kalispell, MT 59901

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1265193080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BREEDERS CUP PL",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928605100",
            "telephone_number": "949-836-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N MAIN ST STE 127",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928781440",
            "telephone_number": "951-216-3549",
            "fax_number": "951-419-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAR",
        "first_name": "JUSTIN",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-04",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95026056",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.