Mimi B Mathews, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14481 Issued in CA

Practice address

751 S Weir Canyon Rd
Suite 167
Anaheim, CA 92808-1962

Phone

(714) 974-0611

Fax

(714) 974-5019

NPI assigned

Apr 9, 2007

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chino Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Chino, CA
  • NPI 1013282029
  Medicare reassignment
• Montclair Emergency Medical Associates

  • Emergency Medicine Physician
  • Montclair, CA
  • NPI 1316044696
  Medicare reassignment

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1730202409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S WEIR CANYON RD",
            "address_2": "SUITE 167",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928084780",
            "telephone_number": "714-974-0611",
            "fax_number": "714-974-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S WEIR CANYON RD",
            "address_2": "SUITE 167",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081962",
            "telephone_number": "714-974-0611",
            "fax_number": "714-974-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "MIMI",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Mata Orozco
• Erika Mata
• Martha Mata
• Hazel Anne Florentino Mateo
• Anne Mathew
• Ajay Sharan Mathur, MD
• Ana Vanessa Calpito Matillano
• Sahar Matin, PHARM.D.
• Matrix Rehabilitation, Inc. (ARC Physical Therapy)
• Matrix Rehabilitation, Inc. (Select Physical Therapy)

• Medical Physician Assistant in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.