Daniel Thomas Mattox

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95023069 Issued in CA

Practice address

2305 Historic Decatur Rd Ste 100
San Diego, CA 92106-6071

Phone

(619) 613-2791

Fax

(619) 415-8415

NPI assigned

Jul 16, 2014

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• ADHD Wellness Clinic

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1922812650
  NPD Authorized official
• Daniel Mattox Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1346046224
  NPD Authorized official
• Imi Ola Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1508791914
  NPD Authorized official

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1558778043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26265 MONTICELLO WAY",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634094",
            "telephone_number": "626-848-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 HISTORIC DECATUR RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066071",
            "telephone_number": "619-613-2791",
            "fax_number": "619-415-8415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Ala Moana Blvd Ste 7400",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968134902",
            "country_code": "US",
            "telephone_number": "808-563-4128",
            "fax_number": "619-415-8415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2523 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900573801",
            "country_code": "US",
            "telephone_number": "626-848-6670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-4066",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Mattie
• Bianca Mattioli
• Nancy M Mattioli, N.P.
• Dania Mattis
• Heidi Mattison, M.A. CCC-SLP
• Alyanna Mattson, MA
• Marina Mattson, RDN
• Philip D. Mattson, MD
• Virginia Padua Mattson, DMD
• Danny Salem Matty, DDS

• Psychiatric/Mental Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.