St Mateona Med Group a Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ST MATEONA MED GROUP A MEDICAL CORPORATION

Practice address

14624 Sherman Way Ste 401
Van Nuys, CA 91405-5848

Phone

(818) 262-4401

NPI assigned

Aug 7, 2025

Last updated

Sep 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kuixing Zhang, MDNPI 1982087110

Title

President

Phone

(818) 262-4401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Kuixing Zhang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Fresno, CA
  • NPI 1982087110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1457236549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY STE 401",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055848",
            "telephone_number": "818-262-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY STE 401",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055848",
            "telephone_number": "818-262-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MATEONA MED GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "KUIXING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-262-4401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.