NPIMap

Organization Active NPI

Mathiesen Memorial Health Center

  • Primary Care Clinic/Center
  • Jamestown, CA
National Provider Identifier
1356080022
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MATHIESEN MEMORIAL HEALTH CENTER
Practice address
18144 Seco St
Jamestown, CA 95327-9498
Phone
(209) 984-4820
Fax
(209) 984-4825
NPI assigned
Jun 1, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
John Vass
Title
Ceo
Phone
(209) 984-4827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

18144 Seco St
Jamestown, CA 95327-9498

Mailing address

PO Box 535
Jamestown, CA 95327-0535
Phone (209) 984-4820

Other practice location 1

18232 Smoke St
Jamestown, CA 95327-9218
Phone (209) 782-8625

Other practice location 2

18158 Main St
Jamestown, CA 95327-9254
Phone (209) 782-6446

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1356080022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953270535",
            "telephone_number": "209-984-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18144 SECO ST",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279498",
            "telephone_number": "209-984-4820",
            "fax_number": "209-984-4825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18232 Smoke St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "CA",
            "postal_code": "953279218",
            "country_code": "US",
            "telephone_number": "209-782-8625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18158 Main St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "CA",
            "postal_code": "953279254",
            "country_code": "US",
            "telephone_number": "209-782-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATHIESEN MEMORIAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "VASS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-984-4827"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.