Organization Active NPI

Emilia Matos M.D. P.C.

  • Specialist
  • Yuma, AZ
National Provider Identifier
1861648693
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12549 Issued in AZ
Legal business name
EMILIA MATOS M.D. P.C.
Practice address
1073 W 23Rd St
Yuma, AZ 85364-8347
Phone
(928) 783-0148
Fax
(928) 783-7997
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Emila Matos, M.D.
Title
President
Phone
(928) 783-0148

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 12549 AZ Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 34699 AZ
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 37902 AZ

Addresses

Primary practice location

1073 W 23Rd St
Yuma, AZ 85364-8347

Mailing address

1073 W 23Rd St
Yuma, AZ 85364-8347
Phone (928) 783-0148

Other names 1

  • Pediatric Associates of Yuma Doing business as

National Provider Directory

National Provider Directory

Locations

1073 W 23rd St
Yuma, AZ 85364
Phone (928) 783-0148

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1861648693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 W 23RD ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648347",
            "telephone_number": "928-783-0148",
            "fax_number": "928-783-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 W 23RD ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648347",
            "telephone_number": "928-783-0148",
            "fax_number": "928-783-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILIA MATOS M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "EMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-783-0148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "12549",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "34699",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "37902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Associates of Yuma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.