Matias Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MATIAS CLINICAL LABORATORY INC

Doing business as

Health Care Providers Laboratory Inc

Practice address

14411 Palmrose Street
Baldwin Park, CA 91706

Phone

(626) 813-3800

Fax

(626) 337-2037

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Emilio Villarba

Title

President

Phone

(626) 813-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Health Care Providers Laboratory Inc Doing business as

Locations

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1962546176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 PALMROSE STREET",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "91706",
            "telephone_number": "626-813-3800",
            "fax_number": "626-813-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 PALMROSE STREET",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "91706",
            "telephone_number": "626-813-3800",
            "fax_number": "626-337-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATIAS CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "VILLARBA",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-813-3800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB95741F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Providers Laboratory Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosalinda Martin, M.D.
• Daniel Thomas Martinez, O.D.
• Elisa Martinez
• Holly T Masui, PHARM. D.
• Dennis Matejka, MD
• Natalie N. Matsuno, MD
• Robert Ewing McAlister III, MD
• Sean S. McCarthy, MD
• Karen A. McDowell, MD
• Patrick McGinnis

• Clinical Medical Laboratory in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.