Expansive Transformation Associates, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EXPANSIVE TRANSFORMATION ASSOCIATES, INC.

Practice address

1363 Donlon St Ste 17
Ventura, CA 93003-5638

Phone

(646) 740-6426

NPI assigned

Nov 1, 2022

Last updated

Feb 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Mati, MDNPI 1447526413

Title

Owner

Phone

(646) 740-6426

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Adam Mati, MD

  • Family Medicine Physician
  • Ventura, CA
  • NPI 1447526413
  NPD Authorized official

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1750098430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 DONLON ST STE 17",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035638",
            "telephone_number": "646-740-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 DONLON ST STE 17",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035638",
            "telephone_number": "646-740-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPANSIVE TRANSFORMATION ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "MATI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-740-6426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ballentine Evans, PT, DPT, WCS
• Kimberly Evans, MFT
• Matt Evans, PT. DPT
• Evolve Growth Initiatives, LLC
• Excellent Hearing AIDS
• Tiffany Anne Eyestone
• F Esfandiari Dental Corporation
• Cielo Angel Fabian
• Lanae Faciane, MFT
• Barrett Fadden

• Family Medicine Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.