Damon Mattison Jr.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

2475 W Cheyenne Ave Ste 130
North Las Vegas, NV 89032-4329

Phone

(702) 646-7570

Fax

(702) 974-1348

NPI assigned

Aug 3, 2010

Last updated

Aug 3, 2010By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1619281474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W ALEXANDER RD APT 2081",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891291713",
            "telephone_number": "313-575-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 W CHEYENNE AVE STE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890324329",
            "telephone_number": "702-646-7570",
            "fax_number": "702-974-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "DAMON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Akemi Matsuda, PHARMD
• Princess Matsuda
• Wayne Matsumura
• Jo'Ann Matthews-Brown
• Natasha Matthews
• Gina Mattison
• Ramandeep Mattu, D.O.
• Sharlynne Anne Maucesa, APRN
• Sarah Elizabeth Mauck, PHD
• Tafilele Palepoi Mauga Jr.

• Rehabilitation Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.