NPIMap

Organization Active NPI

Metate Medical, Inc.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1902193170
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G55320 Issued in CA
Legal business name
METATE MEDICAL, INC.
Practice address
3538 Central Ave
Suite 110
Riverside, CA 92506-2731
Phone
(951) 684-4310
NPI assigned
Jul 7, 2011
Organization subpart
Yes
Parent organization
MALAMA FIRST LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Leticia Amador, P.A.NPI 1518293331
Title
Physician Assistant
Phone
(951) 684-4310

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G55320 CA Primary

Addresses

Primary practice location

3538 Central Ave
Suite 110
Riverside, CA 92506-2731

Mailing address

3538 Central Ave
Suite 110
Riverside, CA 92506-2731
Phone (714) 922-0723

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1902193170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 CENTRAL AVE",
            "address_2": "SUITE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062731",
            "telephone_number": "714-922-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 CENTRAL AVE",
            "address_2": "SUITE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062731",
            "telephone_number": "951-684-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METATE MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MALAMA FIRST LLC",
        "enumeration_date": "2011-07-07",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "951-684-4310",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G55320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.