Individual provider Active NPI

Marie Mateo, CNM

  • Advanced Practice Midwife
  • Oceanside, CA
National Provider Identifier
1902910060
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NMW 884 Issued in CA
Practice address
2210 Mesa Dr
Suite 5
Oceanside, CA 92054-3756
Phone
(760) 757-5841
Fax
(760) 967-4863
NPI assigned
Aug 18, 2006
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NMW 884 CA Primary

Addresses

Primary practice location

2210 Mesa Dr
Suite 5
Oceanside, CA 92054-3756

Mailing address

2210 Mesa Dr
Suite 5
Oceanside, CA 92054-3756
Phone (760) 757-5841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328001062 CA Practitioner - Certified Nurse Midwife (CNM) 1052367554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
884CAMDProfessional Counselor
NMW 884CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc Current Accepting new patients
North County Health Project Inc CurrentSince Nov 23, 2015 Accepting new patients
North County Health Project Inc CurrentSince Nov 23, 2015 Accepting new patients
North County Health Project Inc Past Accepting new patients
Scripps Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

2210 Mesa Dr
Ste 5
Oceanside, CA 92054
Phone (760) 736-8700

408 Cassidy St
Oceanside, CA 92054
Phone (760) 757-4566

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mmateo312838@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1902910060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MESA DR",
            "address_2": "SUITE 5",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543756",
            "telephone_number": "760-757-5841",
            "fax_number": "760-967-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MESA DR",
            "address_2": "SUITE 5",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543756",
            "telephone_number": "760-757-5841",
            "fax_number": "760-967-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW 884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.