Individual provider Active NPI

Jonathan J Mates, LAC

  • Acupuncturist
  • Santa Barbara, CA
National Provider Identifier
1780980110
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13973 Issued in CA
Practice address
829 De la Vina St
Suite 310
Santa Barbara, CA 93101-3238
Phone
(805) 319-1959
NPI assigned
Feb 2, 2011
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13973 CA Primary

Addresses

Primary practice location

829 De la Vina St
Suite 310
Santa Barbara, CA 93101-3238

Mailing address

829 De la Vina St
Suite 310
Santa Barbara, CA 93101-3238
Phone (805) 319-1959

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1780980110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 DE LA VINA ST",
            "address_2": "SUITE 310",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013238",
            "telephone_number": "805-319-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 DE LA VINA ST",
            "address_2": "SUITE 310",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013238",
            "telephone_number": "805-319-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATES",
        "first_name": "JONATHAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.