Matthew Agustin Aquino Sia

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95029889 Issued in CA

Practice address

142 Ponderosa St
La Puente, CA 91744-6221

Phone

(626) 652-5203

NPI assigned

May 1, 2024

Last updated

May 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carehealth Medical CorporationGroup PAC ID 8426556762, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carehealth Medical Corporation

  dba American Family Care

  • Urgent Care Clinic/Center
  • Chino, CA
  • NPI 1568250389
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1598512279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PONDEROSA STREET",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91744",
            "telephone_number": "626-652-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PONDEROSA ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917446221",
            "telephone_number": "626-652-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIA",
        "first_name": "MATTHEW AGUSTIN",
        "middle_name": "AQUINO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95029889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shah & Khedia Medical Doctors Inc (Southern California SNF Specialist Services)
• Shams a. Mousavilar,MD,Inc. (New Valley Pediatric Clinic)
• Eugenia Sharon, NP
• Joanne Hyo-Jung Shim
• Maria Kristina Sia, NP, RN
• Raquel Marie Sierra
• Lourdes Silva Said
• Destiny Marie Siordia
• Andrew Caesar Slaughter, PCCI
• Karina De Los Angeles Solano

• Nurse Practitioner in La Puente, CA
• Providers in La Puente, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.