Maria Angela Milaor Matabang, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

77922 Issued in AZ

Practice address

2771 Silver Creek Rd Ste 120
Bullhead City, AZ 86442-8023

Phone

(928) 763-7722

Fax

(928) 763-7744

NPI assigned

May 26, 2021

Reactivated

Nov 29, 2022

Last updated

Mar 26, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1619542172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182396",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 SILVER CREEK RD STE 120",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428023",
            "telephone_number": "928-763-7722",
            "fax_number": "928-763-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATABANG",
        "first_name": "MARIA ANGELA",
        "middle_name": "MILAOR",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "deactivation_date": "2022-11-23",
        "reactivation_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "77922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javed Malik, M.D.
• Elliot Charles Maness, DO
• Krushna Mantri
• Shauna Lynn Marlowe, FNP-BC
• Laura E Martinez
• Shellby Taylor Mayo, LPC
• Gerri McArdle
• Cynthia Elaine McClurg, MED LPC
• Nicholas McCombs
• Lillian Mary McCumber, M.S.-SLP

• Nephrology Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.