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MR. FERNANDO U MATA PAC
NPI 1063594117
Physician Assistant in Lamont, CA

Active since October 19, 2006
10200 MAIN ST, LAMONT, CA 93241(661) 845-1788(661) 845-1791 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Fernando U Mata Pac NPPES

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

MR. FERNANDO U MATA PAC (NPI 1063594117) is an individual physician assistant in Lamont, California, licensed in California (PA12281) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063594117
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. FERNANDO U MATACredential: PAC
Location Address10200 MAIN STLamont, CA 93241-1700
Mailing Address10200 Main StLamont, CA 93241-1700 · (661) 845-1788 · Fax (661) 845-1791
Phone(661) 845-1788
Fax(661) 845-1791
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 13, 2017
✔ NPI 1063594117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA12281
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10200 MAIN ST, Lamont, CA 93241
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Other Names 1

Other Name (5)Fernando Ulloa Mata Pac

Other Identifiers 1

MedicaidPA12281CA

Other Providers at the Same Location NPPES 3

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

UNIVERSAL HEALTHCARE SERVICES, INC.
Family Medicine
10200 MAIN ST
LAMONT, CA 93241
Kern County (661) 587-2468
DEL PUEBLO MEDICAL GROUP
General Practice
10200 MAIN ST
LAMONT, CA 93241
Kern County (661) 845-1788
CLINICA DEL PUEBLO
General Practice
10200 MAIN ST
LAMONT, CA 93241
Kern County (661) 845-2399

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 Fernando Mata's NPI number?

The NPI number for Fernando Mata is 1063594117. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Fernando Ulloa Mata Pac.

Where is Fernando Mata located?

Fernando Mata practices at 10200 Main St, Lamont, CA 93241. The listed phone number is (661) 845-1788.

What is Fernando Mata's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Fernando Mata was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.