Active NPI
Naweid John Maten, PHARMD
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1679247167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82005
- Practice address
- 417 S Holt Ave Apt 212
Los Angeles, CA 90048-4044 - Phone
- (720) 290-1854
- NPI assigned
- Aug 6, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82005 | CA | Primary |
Addresses
Primary practice location
417 S Holt Ave Apt 212
Los Angeles, CA 90048-4044
Mailing address
417 S Holt Ave Apt 212
Los Angeles, CA 90048-4044
Phone (720) 290-1854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82005 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1679247167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 S HOLT AVE APT 212",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484044",
"telephone_number": "720-290-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 S HOLT AVE APT 212",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484044",
"telephone_number": "720-290-1854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEN",
"first_name": "NAWEID",
"middle_name": "JOHN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-06",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.