Mata Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

22763 Issued in CA

Legal business name

MATA CHIROPRACTIC, INC.

Doing business as

Covina Chiropractic

Practice address

461 W Badillo St
Covina, CA 91723

Phone

(626) 966-4469

Fax

(626) 915-8929

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Olman Edward Mata, DCNPI 1174688253

Title

Chiropractor

Phone

(626) 966-4469

Specialties & licenses 1

Addresses

Other names 1

• Covina Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olman Mata, DC

  • Chiropractor
  • Covina, CA
  • NPI 1174688253
  Medicare reassignment Authorized official
• Helmer Velez, D.C.

  • Chiropractor
  • West Covina, CA
  • NPI 1427219260
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1881716405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231834",
            "telephone_number": "626-966-4469",
            "fax_number": "626-915-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-966-4469",
            "fax_number": "626-915-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATA CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "OLMAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "626-966-4469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covina Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicky Martinez
• Roxana Maselli
• Masonic Homes of California
• Masonic Homes of California
• Masonic Homes of California
• Nelly Zulema Mata Navarro
• Olman Mata, DC
• Henry Georginio Mateo
• Elizabeth Mathew, AGACNP DNP
• Kristina Mathews

• Chiropractor in Covina, CA
• Providers in Covina, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.