Ryan A Matlock

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

4300 Long Beach Blvd
Long Beach, CA 90807-2011

Phone

(310) 783-4677

NPI assigned

Jan 28, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1316185317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 COLBY CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836157",
            "telephone_number": "714-244-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072011",
            "telephone_number": "310-783-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "RYAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Matheus, NP CDE BC ADM MSN
• Lauren Ashley Mathews, D.D.S.
• Laura Wall Mathison, BCBA
• Kimberly Matias
• Afsaneh Matin, DDS
• Mahsa Matloobi, M.D.
• Daniel Matoto
• Lori Marie Matovski, LMFT
• Matrix Rehabilitation, Inc.
• Matrix Rehabilitation, Inc.

• Community Health Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.