NPIMap

Organization Active NPI

Michael a Mattes, DPM a Prof Corp

  • Podiatrist
  • Sherman Oaks, CA
National Provider Identifier
1508914235
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3418 Issued in CA
Legal business name
MICHAEL A MATTES, DPM A PROF CORP
Practice address
13351D Riverside Dr # 604
Sherman Oaks, CA 91423-2508
Phone
(818) 789-3668
Fax
(818) 906-0777
NPI assigned
Jan 8, 2007
Last updated
Nov 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Dr. Michael Alan Mattes, DPMNPI 1902954613
Title
President Owner Practitoner
Phone
(818) 789-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E3418 CA Primary

Addresses

Primary practice location

13351D Riverside Dr # 604
Sherman Oaks, CA 91423-2508

Mailing address

13351D Riverside Dr # 604
Sherman Oaks, CA 91423-2508
Phone (818) 789-3668

National Provider Directory

National Provider Directory

Locations

13351 Riverside Dr
Ste 604
Sherman Oaks, CA 91423

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1508914235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351D RIVERSIDE DR # 604",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232508",
            "telephone_number": "818-789-3668",
            "fax_number": "818-906-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13351D RIVERSIDE DR # 604",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232508",
            "telephone_number": "818-789-3668",
            "fax_number": "818-906-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A MATTES, DPM A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "MATTES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT OWNER PRACTITONER",
        "authorized_official_telephone_number": "818-789-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.