Organization Active NPI

Mata Surgical Assisting

  • Surgical Assistant
  • San Antonio, TX
National Provider Identifier
1356831028
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
MATA SURGICAL ASSISTING
Practice address
13903 Lone Tree St
San Antonio, TX 78247-3834
Phone
(210) 687-4214
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Julio MataNPI 1962719658
Title
Lsa
Phone
(210) 687-4214

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
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

13903 Lone Tree St
San Antonio, TX 78247-3834

Mailing address

13903 Lone Tree St
San Antonio, TX 78247-3834
Phone (210) 687-4214

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1356831028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13903 LONE TREE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473834",
            "telephone_number": "210-687-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13903 LONE TREE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473834",
            "telephone_number": "210-687-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATA SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "LSA",
        "authorized_official_telephone_number": "210-687-4214"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.