Ameer Matariyeh a Professional Medical Corporation

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

AMEER MATARIYEH A PROFESSIONAL MEDICAL CORPORATION

Practice address

1990 Westwood Blvd Ste 220
Los Angeles, CA 90025-4674

Phone

(310) 475-5377

Fax

(310) 446-1825

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Michael Aidulis

Title

Administrator

Phone

(661) 471-2235

Specialties & licenses 1

Addresses

Other names 1

• Ameer Matariyeh DPM Other name

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1851027056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44938 16TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342135",
            "telephone_number": "661-471-2235",
            "fax_number": "661-750-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WESTWOOD BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254674",
            "telephone_number": "310-475-5377",
            "fax_number": "310-446-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEER MATARIYEH A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "AIDULIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-471-2235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ameer Matariyeh DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Faaidah Ameen
• Adnan Ameer, M.D.
• Quazi A Ameer, PHARMD
• Benjamin I Amendolara, MD
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• Marvin Ament, M.D.

• Podiatrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.