Daniel Matemotja, MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A35512 Issued in CA

Legal business name

DANIEL MATEMOTJA, MD INC

Doing business as

May Family Medical Clinic

Practice address

711 E Rosecrans Ave
East Rancho Dominguez, CA 90221-2143

Phone

(310) 635-5223

Fax

(310) 635-8246

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Matemotja, MD

Title

Owner

Phone

(310) 635-5223

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• May Family Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1568659563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E ROSECRANS AVE",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902212143",
            "telephone_number": "310-635-5223",
            "fax_number": "310-635-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E ROSECRANS AVE",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902212143",
            "telephone_number": "310-635-5223",
            "fax_number": "310-635-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MATEMOTJA, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "MATEMOTJA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-635-5223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A35512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE DIRECTOR",
            "identifier": "A35512",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "May Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvonne Renee Battiste, RN
• Margaux Bonzon
• Kimberly Brown
• Joseemar Coreas
• Cecilia Cudiamat, PA-C
• Jayden Davila, BSN, RN
• Leslie Guadalupe De la Cruz-Trejo
• De Novo Health Care Inc
• Angelica Delallana, MSN, APRN, FNP
• Bradlisia Dixon

• Family Medicine Physician in East Rancho Dominguez, CA
• Providers in East Rancho Dominguez, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.