Individual provider Active NPI

Cristinel Marius Mateescu, MANAGER/CAREGIVER

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1750111621
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12959H Issued in AZ
Practice address
14601 N 55TH PL
Scottsdale, AZ 85254-2357
Phone
(623) 262-5388
NPI assigned
Aug 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12959H AZ Primary

Addresses

Primary practice location

14601 N 55TH PL
Scottsdale, AZ 85254-2357

Mailing address

5250 E Carolina Dr
Scottsdale, AZ 85254-1732
Phone (623) 330-2611

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

State licenses

LicenseStateTypeSpecialty
AL12959HAZMDAssisted Living Facility

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1750111621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 E CAROLINA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541732",
            "telephone_number": "623-330-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 N 55TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542357",
            "telephone_number": "623-262-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEESCU",
        "first_name": "CRISTINEL",
        "middle_name": "MARIUS",
        "credential": "MANAGER/CAREGIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL12959H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.