Active NPI
Matilda Cortez Garcia, M.D., MPH
- Pediatrics Physician
- Mesa, AZ
National Provider Identifier
1295775443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 21673
- Practice address
- 1705 W Main St
Adelante Healthcare
Mesa, AZ 85202 - Phone
- (877) 809-5092
- Fax
- (480) 840-1834
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21673 | AZ | Primary |
Addresses
Primary practice location
1705 W Main St
Adelante Healthcare
Mesa, AZ 85202
Mailing address
1705 W Main St
Adelante Healthcare
Mesa, AZ 85201-6920
Phone (877) 809-5092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3924654 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Payson Healthcare Management Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1295775443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 W MAIN ST",
"address_2": "ADELANTE HEALTHCARE",
"city": "MESA",
"state": "AZ",
"postal_code": "852016920",
"telephone_number": "877-809-5092",
"fax_number": "480-840-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 W MAIN ST",
"address_2": "ADELANTE HEALTHCARE",
"city": "MESA",
"state": "AZ",
"postal_code": "85202",
"telephone_number": "877-809-5092",
"fax_number": "480-840-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MATILDA",
"middle_name": "CORTEZ",
"name_prefix": "Dr.",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "21673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3924654",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.