Sanela Mattiuz, M.D

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

10634 E Riverside Dr
Suite 130
Bothell, WA 98011-3757

Phone

(425) 806-5021

Fax

(425) 486-3949

NPI assigned

Jul 28, 2016

Last updated

Jul 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1952854671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10634 E RIVERSIDE DR",
            "address_2": "SUITE 130",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10634 E RIVERSIDE DR",
            "address_2": "SUITE 130",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113757",
            "telephone_number": "425-806-5021",
            "fax_number": "425-486-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIUZ",
        "first_name": "SANELA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY NUMBER",
            "identifier": "2084P 0800X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darleene Matheson, RN
• Sam Mathew, ARNP, PMHNP
• Jana Marie Mathis, LMP
• Darryn Hiroshi Matsushima, RDMS
• Magda Maurice Mattar
• Thomas Mauer
• Sara J Maurer, ARNP
• Maxor National Pharmacy Services LLC (Pacific Medical Centers Pharmacy-Canyon Park)
• Maxor National Pharmacy Services LLC (Pacific Medical Center Pharmacy Canyon Park)
• Marisa Maxwell, RN

• Student in an Organized Health Care Education/Training Program in Bothell, WA
• Providers in Bothell, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.