Active NPI
Isaias Mata Jr., P.A.
- Medical Physician Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA03404
- Practice address
- 7877 Willow Chase Blvd
Houston, TX 77070-5934 - Phone
- (832) 869-4818
- Fax
- (832) 241-2902
- NPI assigned
- Nov 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA03404 | TX | Primary |
Addresses
Primary practice location
7877 Willow Chase Blvd
Houston, TX 77070-5934
Mailing address
2717 Michael Angelo
Edinburg, TX 78539-1403
Phone (956) 217-7000
Other practice location 1
2717 Michael Angelo
Edinburg, TX 78539-1403
Phone (956) 217-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA03404 | Other | TX | TEXAS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4770 N Expressway
83 Suite 103
Brownsville, TX 78520
Phone (956) 687-8120
5505 S Expressway
77 Suite 106
Harlingen, TX 78550-3223
Phone (956) 423-9996
801 E Nolana Ave
McAllen, TX 78504-6113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03404 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McAllen Hospitalist Group, PLLC | Past | Accepting new patients | |
| Jorge Zamora-Quezada MD MPH PA | Past | Accepting new patients | |
| Jorge a Ortegon MD PA | Past | Accepting new patients |
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1780865857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 MICHAEL ANGELO",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391403",
"telephone_number": "956-217-7000",
"fax_number": "956-682-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7877 WILLOW CHASE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770705934",
"telephone_number": "832-869-4818",
"fax_number": "832-241-2902"
}
],
"practiceLocations": [
{
"address_1": "2717 Michael Angelo",
"address_purpose": "LOCATION",
"city": "Edinburg",
"state": "TX",
"postal_code": "785391403",
"country_code": "US",
"telephone_number": "956-217-7000",
"fax_number": "956-682-1960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATA",
"first_name": "ISAIAS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-16",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA03404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSE",
"identifier": "PA03404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.