Wanda A Materre

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1652 Sunnydale Ave
San Francisco, CA 94134-2628

Phone

(415) 337-4763

NPI assigned

May 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1770148355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 SUNNYDALE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941342628",
            "telephone_number": "415-337-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 SUNNYDALE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941342628",
            "telephone_number": "415-337-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERRE",
        "first_name": "WANDA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Earl Matchette III, LMFT
• Hannah Mate
• Christopher Mateo, RN
• Joseph Bradley Mateo, PT, DPT
• Lartily Vitangcol Mateo, PA-C
• Judith Leong Mates, MD
• Rosa Mathai, DMD
• Daniel Henry Mathalon, M.D.
• Cheryl Alyssa Mather, MD
• Christina Shamara Mather, MD

• Community Health Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.