Mario David Mata, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00462 Issued in TX

Practice address

7401 Main St
Houston, TX 77030-4509

Phone

(713) 799-2300

Fax

(833) 520-1440

NPI assigned

Jul 23, 2012

Sex

Male

Sole proprietor

No

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

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.

• MDM Assisting LLC

  • Surgical Physician Assistant
  • Rosharon, TX
  • NPI 1124634480
  NPD Authorized official
• Key Access Institute, LLC

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1629370135
  NPD (past)
• Mary C Valentine Lsa

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1205987518
  NPD (past)

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1336494699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 HARTFORD HEIGHTS WAY",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775831978",
            "telephone_number": "713-315-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304509",
            "telephone_number": "713-799-2300",
            "fax_number": "833-520-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14110 Hartford Heights Way",
            "address_purpose": "LOCATION",
            "city": "Rosharon",
            "state": "TX",
            "postal_code": "77583",
            "country_code": "US",
            "telephone_number": "713-315-1519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATA",
        "first_name": "MARIO",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Lok-Sze Mata, PA-C
• Isaias Mata Jr., P.A.
• Jocelyn Mata
• Laura Mata, DPT
• Maggy Mata, M.D.
• Maritza Mata, LPC, LMFT
• Marlenne Mata
• Vanessa Mata
• Emmy Matafu, LVN
• Michelle Noela Auma Matalanga

• Surgical Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.