Organization Active NPI

Aurina Poh-Matacio, DDS, Inc

  • General Practice Dentistry
  • Saint Helena, CA
National Provider Identifier
1336475680
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52771 Issued in CA
Legal business name
AURINA POH-MATACIO, DDS, INC
Practice address
995 Dowdell LN
Saint Helena, CA 94574-1451
Phone
(707) 963-4611
Fax
(707) 963-1436
NPI assigned
Oct 21, 2009
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Dr. Aurina Poh-Matacio, DDSNPI 1154511186
Title
Owner
Phone
(707) 963-4611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52771 CA Primary

Addresses

Primary practice location

995 Dowdell LN
Saint Helena, CA 94574-1451

Mailing address

995 Dowdell LN
Saint Helena, CA 94574-1451
Phone (707) 963-4611

National Provider Directory

National Provider Directory

Locations

995 Dowdell Ln
Saint Helena, CA 94574
Phone (707) 963-4611

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1336475680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 DOWDELL LN",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741451",
            "telephone_number": "707-963-4611",
            "fax_number": "707-963-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 DOWDELL LN",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741451",
            "telephone_number": "707-963-4611",
            "fax_number": "707-963-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURINA POH-MATACIO, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "POH-MATACIO",
        "authorized_official_first_name": "AURINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-963-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.