Matix Diabetic, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MATIX DIABETIC, INC

Practice address

14111 Freeway Dr # 303
Santa Fe Springs, CA 90670-5822

Phone

(562) 407-9364

Fax

(626) 964-2573

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Clifford Koon

Title

Ceo

Phone

(562) 407-9349

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730267618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 FREEWAY DR # 303",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705822",
            "telephone_number": "562-407-9364",
            "fax_number": "626-964-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14111 FREEWAY DR # 303",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705822",
            "telephone_number": "562-407-9364",
            "fax_number": "626-964-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATIX DIABETIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOON",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-407-9349",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Mascarenas
• Ana Mata
• Matthew Mata
• Amanda Dawn Mathews
• Antonio Matinez Sr.
• Vickie A Matthews, CAARR
• Beatrice Nyaboke Mausah
• Michael Mays
• Dorinda Jo McAllister
• Elizabeth McCammon

• Durable Medical Equipment & Medical Supplies in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.