Active NPI
Robin Alexis Mathis, RN
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Oxnard, CA
National Provider Identifier
1790404606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- 95275583
- Practice address
- 2130 N Ventura Rd
Oxnard, CA 93036-2246 - Phone
- (510) 317-1444
- NPI assigned
- Aug 24, 2022
- Last updated
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 95275583 | CA | Primary |
Addresses
Primary practice location
2130 N Ventura Rd
Oxnard, CA 93036-2246
Mailing address
4630 Cloyne St Apt 2
Oxnard, CA 93033-7778
Phone (805) 814-2205
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95275583 | CA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1790404606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 CLOYNE ST APT 2",
"city": "OXNARD",
"state": "CA",
"postal_code": "930337778",
"telephone_number": "805-814-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 N VENTURA RD",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362246",
"telephone_number": "510-317-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "ROBIN",
"middle_name": "ALEXIS",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "CA",
"license": "95275583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Eli Matthews
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- Max E Rodriguez MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.