Mataria Dental Group PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MATARIA DENTAL GROUP PC

Practice address

3610 Lomita Blvd Ste 202
Torrance, CA 90505-3919

Phone

(310) 465-0565

NPI assigned

Dec 9, 2021

Organization subpart

No

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

Authorized official

Name

Ahmed Mataria, DDS

Title

Owner

Phone

(310) 465-0565

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Donka Neimar, DDS

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1992902910
  NPD (past)

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1376202176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 LOMITA BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053919",
            "telephone_number": "310-465-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 LOMITA BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053919",
            "telephone_number": "310-465-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATARIA DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "MATARIA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-465-0565",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasima Masoodi, MD
• Maryam Masouminia
• Mohammad Taghi Massoudian, M.D.
• Jennifer Joy Mastick, RN
• Alexander Mastrovito, OTR
• James C. Matchison, M.D.
• Samantha Mateos
• Maternal-Fetal Medicine Associates
• Matharu Assisted Living, Inc.
• Rhea Sarah Mathew, MD

• Dental Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.