Active NPI
Rebecca Matta, MD
- Pediatrics Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A194404
- Practice address
- 747 52ND St
Oakland, CA 94609-1809 - Phone
- (510) 428-3129
- NPI assigned
- May 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C7-0017601 | DE | |
| Pediatrics Physician | 208000000X | A194404 | CA | Primary |
Addresses
Primary practice location
747 52ND St
Oakland, CA 94609-1809
Mailing address
747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-3129
Other practice location 1
1600 Rockland Rd Ste 3D16
Wilmington, DE 19803-3607
Phone (302) 651-5874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0017601 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of California UCSF | Pediatrics | Current | Accepting new patients |
| UCSF Health Medical Foundation | Pediatrics | Current | Accepting new patients |
| UCSF Health Medical Foundation | Past | Accepting new patients |
Locations
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
570 Price Ave
Ste 100
Redwood City, CA 94063
Phone (650) 327-1258
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
3838 California St
Rm 111
San Francisco, CA 94118
Phone (415) 221-6476
1081 Market Pl
Ste 500
San Ramon, CA 94583
Phone (669) 235-4188
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Emeryville, CA
- NPI 1043628316
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
Pediatrics
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1922124866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1407421860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 52ND ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 52ND ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-3129"
}
],
"practiceLocations": [
{
"address_1": "1600 Rockland Rd Ste 3D16",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198033607",
"country_code": "US",
"telephone_number": "302-651-5874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTA",
"first_name": "REBECCA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C7-0017601",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A194404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.