SearchCalifornia101YA0400X

John Mataka, RAS

NPI 1821128661 · on the registry since 2007

Practice

Address
1904 Richland Ave Bldg F
Ceres, CA 95307
Phone
(209) 525-7411
Fax
(209) 541-2083
Organisation at this address
Bhrs
Telecare
Telecare Corporation
County Of Stanislaus
County Of Stanislaus
Inferred from a shared address, not stated in the registry.
Clinicians at this address
380

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-31

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 California