John Michael Mata, NP

NPI 1639871247 · on the registry since 2023 · sole proprietor

Practice

Address: 3250 Gateway Blvd Ste 112
Prescott, AZ 86303
Phone: (708) 248-0049
Organisation at this address: Alaga Hospice Llc
Alaga Home Health Llc
Luxottica Of America Inc.
Williams Eyecare Group Llc
Alaga Health Chronic Care Management Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363L00000X
363L00000X
Also registered as: 363LA2100X
363LA2200X
363LC0200X
363LG0600X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona