Active NPI
Emilia Matos M.D. P.C.
- Specialist
- Yuma, AZ
National Provider Identifier
1861648693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12549
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12549 | AZ | Primary |
| Specialist | 174400000X | 34699 | AZ | |
| Specialist | 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
National Provider Directory
National Provider DirectoryLocations
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.