Cheryl Macahilus Mateo, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95009687 Issued in CA

Practice address

3726 Green Ave
Los Alamitos, CA 90720-3230

Phone

(171) 449-5029

NPI assigned

Nov 7, 2018

Last updated

Nov 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lev Grinman MD 3 Professional CorporationGroup PAC ID 6608316856, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M Healthcare Nursing Corp

  • Primary Care Nurse Practitioner
  • Colton, CA
  • NPI 1225848823

  Multi-Specialty

  Medicare reassignment NPD
• Lev Grinman MD 3 Professional Corporation

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1033975065
  Care Compare group

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1518435593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 GREEN AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203230",
            "telephone_number": "171-449-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 GREEN AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203230",
            "telephone_number": "171-449-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "CHERYL",
        "middle_name": "MACAHILUS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95009687",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95009687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Alexandra Marks, CADC I
• Zoe Martineau, BS, SLPA
• Stacey Martinelli
• Jared Austin Martinez
• Mina Masri, D.O.
• Carla Marie Matos, C-SLPA
• Roni Yoshiko Matsumoto, D.C.
• Matt Reza Khoshnevis MD a Professional Corporation
• Jeremy W Matteson, PT, CSCS
• Danika Matuska

• Gerontology Nurse Practitioner in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.