NPIMap

Organization Active NPI

Mati Custom Chiropractic Corporation

Doing business as Santa Clara Custom Chiropractic

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1831754407
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MATI CUSTOM CHIROPRACTIC CORPORATION
Doing business as
Santa Clara Custom Chiropractic
Practice address
3700 Thomas Rd Ste 207
Santa Clara, CA 95054-2063
Phone
(408) 248-8700
NPI assigned
May 8, 2019
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Ledia Mati, DCNPI 1528567468
Title
President
Phone
(408) 248-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3700 Thomas Rd Ste 207
Santa Clara, CA 95054-2063

Mailing address

3700 Thomas Rd Ste 207
Santa Clara, CA 95054-2063
Phone (408) 248-8700

Other names 1

  • Santa Clara Custom Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220413002473 CA Part B Supplier - Clinic/Group Practice 5294121562 Receives reassigned benefits from 4 practitioners
Practice locations: Santa Clara, CA

National Provider Directory

National Provider Directory

Locations

3700 Thomas Rd
Ste 207
Santa Clara, CA 95054
Phone (408) 248-8700

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1831754407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 THOMAS RD STE 207",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542063",
            "telephone_number": "408-248-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 THOMAS RD STE 207",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542063",
            "telephone_number": "408-248-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATI CUSTOM CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2024-01-09",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "MATI",
        "authorized_official_first_name": "LEDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-248-8700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Clara Custom Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Clara Custom Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.