Fernando Mata, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13604 Issued in CA

Practice address

1137 2ND St
Ste 212
Santa Monica, CA 90403-5011

Phone

(310) 458-0907

Fax

(310) 458-7258

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Andrews Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1932279858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 2ND ST",
            "address_2": "STE 212",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035080",
            "telephone_number": "310-458-0907",
            "fax_number": "310-458-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 2ND ST",
            "address_2": "STE 212",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035011",
            "telephone_number": "310-458-0907",
            "fax_number": "310-458-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "FERNANDO",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ANDREWS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alix Esther Masters
• Brittany Masters, MSN, NP
• Christie Lynn Masters, MD, MBA, MHA
• Lisa M Masterson, MD
• Mary Jo Mastro, LCSW
• Rosalinda Mata, MSW INTERN
• Bryan Mathews
• Eva Lorraine Mathews, DO
• Matrix Physical Therapy and Wellness, PC
• Leah Nadette Matson, PH.D.

• Chiropractor in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.