DR. ELENITA P SANTOS-MATA M.D.
NPI 1053454108
Pediatrics - Adolescent Medicine in Zachary, LA

Q: What is Elenita Santos-mata's NPI number?

The NPI number for Elenita Santos-mata is 1053454108. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Q: What is Elenita Santos-mata's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since February 15, 2007

4851 W PARK DR, SUITE A, ZACHARY, LA 70791(225) 658-7636(225) 658-7634 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Elenita P Santos-mata M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELENITA P SANTOS-MATA M.D. (NPI 1053454108) is an individual adolescent medicine provider in Zachary, Louisiana, licensed in Louisiana (07399R) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1053454108

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. ELENITA P SANTOS-MATACredential: M.D.

Location Address4851 W PARK DR, SUITE AZachary, LA 70791-4010

Mailing Address4851 W Park Dr, Suite AZachary, LA 70791-4010 · (225) 658-7636 · Fax (225) 658-7634

Phone(225) 658-7636

Fax(225) 658-7634

Sole ProprietorYes

Enumeration DateFebruary 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1053454108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in LA · 07399R

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

4851 W PARK DR, Zachary, LA 70791

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Other Identifiers 2

Medicare UPINF95122

Medicaid1372617LA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARY PEDIATRICS

Legal Medicine

4851 W PARK DR, SUITE A
ZACHARY, LA 70791

East Baton Rouge Parish (225) 658-7636

REBECCA WICKLIFFE RNFA

Registered Nurse (Registered Nurse First Assistant)

4851 W PARK DR, SUITE B
ZACHARY, LA 70791

East Baton Rouge Parish (225) 654-0310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elenita Santos-mata's NPI number?

The NPI number for Elenita Santos-mata is 1053454108. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Elenita Santos-mata located?

Elenita Santos-mata practices at 4851 W Park Dr Suite A, Zachary, LA 70791. The listed phone number is (225) 658-7636.

What is Elenita Santos-mata's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Elenita Santos-mata was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.