Joseph Anthony Mattera

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21347 Issued in CA

Practice address

1366 W 7TH St Ste 4B
San Pedro, CA 90732-3500

Phone

(310) 547-2197

NPI assigned

Nov 15, 2010

Last updated

Apr 14, 2011By 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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• New Hope Podiatry Group Inc.

  • Foot & Ankle Surgery Podiatrist
  • Alhambra, CA
  • NPI 1447670955
  NPD (past)

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1700187234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 W 7TH ST STE 4B",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323500",
            "telephone_number": "131-054-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 W 7TH ST STE 4B",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323500",
            "telephone_number": "310-547-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERA",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giti Massoudian, DDS.
• Liliana Mastroianni
• Damien Mata
• Julia Mathews, PT, NCS
• Brianna Aiko Matsuura
• Maureen Mulvihill, MD PC
• Maxwell a. Dartey, M.D., Inc.
• Jamie Maxwell
• Raymond J Mazuchowski Jr., DDS
• Brittney Mari Mazzaglia, LCSW

• Physician Assistant in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.