Roxana Mata, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16849 Issued in TX

Practice address

3007 Longhorn Blvd Ste 102
Austin, TX 78758-7632

Phone

(512) 566-4233

NPI assigned

Apr 18, 2007

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Roxana Gonzalez Former name

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dose Management PAGroup PAC ID 0648692673, 3 clinicians

Dose Management Ca CorporationGroup PAC ID 8325411366, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: roxana.mata.1@25634.direct.athenahealth.com
• Direct secure messaging: roxana.mata@398008301912068.direct.elationemr.com

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.

• Dose Management PA

  • Clinic/Center
  • Austin, TX
  • NPI 1447874334
  Medicare reassignment Care Compare group
• Dose Management Ca Corporation

  • Clinic/Center
  • Newport Beach, CA
  • NPI 1598400665
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1659597599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LAVACA ST # 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011634",
            "telephone_number": "512-566-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 LONGHORN BLVD STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587632",
            "telephone_number": "512-566-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Valpreda Rd",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920692973",
            "country_code": "US",
            "telephone_number": "760-720-6677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Birch St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602625",
            "country_code": "US",
            "telephone_number": "512-566-4234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATA",
        "first_name": "ROXANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15670",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANA",
            "last_name": "GONZALEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Masuda
• Mata Casa Home Care LLC
• Brenda Mata
• Carmen Mata
• Kenya Mata
• Valeria Rocio Matamoros Mendoza, M.ED., BCBA
• Melissa Marie Matamoros, OTR
• Melanie Matarazzo
• Gina Mateer, R.D., L.D.
• Kim Lauren Matejowsky, LCSW

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.