NPIMap

Individual provider Active NPI

Jose Mata

  • Family Medicine Physician
  • Monroe, WA
National Provider Identifier
1346227170
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00046741 Issued in WA
Practice address
14841 179TH Ave SE Ste 210
Monroe, WA 98272-1127
Phone
(360) 217-1155
Fax
(360) 217-1154
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00046741 WA Primary

Addresses

Primary practice location

14841 179TH Ave SE Ste 210
Monroe, WA 98272-1127

Mailing address

14841 179TH Ave SE Ste 210
Monroe, WA 98272-1127
Phone (360) 217-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070914000092 WA Practitioner - Family Practice 3375586910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

10025 NE 186TH St
Bothell, WA 98011-3839
Phone (425) 486-9131

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Providence at Home With Compassus, Snohomish County Home health agency, Everett, WA, CCN 507065
  • Evergreenhealth Monroe Hospital, Monroe, WA, CCN 500084
  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Oct 1, 2025 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jul 1, 2018 Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince May 3, 2009 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jul 1, 2018 Accepting new patients
King County Public Hospital District No. 2 Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
King County Public Hospital District No 2 Family Medicine Current Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Sea Mar Community Health Centers CurrentSince May 3, 2009 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

10025 NE 186th St
Bothell, WA 98011
Phone (425) 486-9131

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885

14841 179th Ave SE
Ste 210
Monroe, WA 98272
Phone (360) 217-1155

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

629 Avenue D
Snohomish, WA 98290
Phone (360) 568-1551

629 Avenue D
Ste 1
Snohomish, WA 98290
Phone (360) 568-1554

Interoperability endpoints

  • Direct secure messaging: jmata726895@direct.multicare.org

Organizations & group practices 11

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1346227170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14841 179TH AVE SE STE 210",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721127",
            "telephone_number": "360-217-1155",
            "fax_number": "360-217-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14841 179TH AVE SE STE 210",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721127",
            "telephone_number": "360-217-1155",
            "fax_number": "360-217-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00046741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

Verify at the official NPI Registry.