Individual provider Active NPI

Lyndsay De Matei, PA-C

  • Medical Physician Assistant
  • Dinuba, CA
National Provider Identifier
1649837006
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
56792 Issued in CA
Practice address
468 N Vermont Ave
Dinuba, CA 93618-1631
Phone
(559) 591-6200
NPI assigned
May 21, 2019
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 56792 CA Primary

Addresses

Primary practice location

468 N Vermont Ave
Dinuba, CA 93618-1631

Mailing address

317 W El Monte Way
Dinuba, CA 93618-1557

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190802001095 CA Order and Referring Only - Physician Assistant 7517294200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56792CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anand Narayan MD Inc Past Accepting new patients
Anand Narayan MD Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1649837006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W EL MONTE WAY",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936181557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 N VERMONT AVE",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936181631",
            "telephone_number": "559-591-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MATEI",
        "first_name": "LYNDSAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "56792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dinuba, CA

Sources for this page

Verify at the official NPI Registry.