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MATTHEW WADA
NPI 1114654506
Counselor - Addiction (Substance Use Disorder) in Pasadena, CA

Active since August 04, 2022
1230 N MARENGO AVE, PASADENA, CA 91103(626) 633-2593 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Aug 4, 2022 (2 updates tracked since 2022).

About Matthew Wada NPPES

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

MATTHEW WADA (NPI 1114654506) is an individual addiction (substance use disorder) provider in Pasadena, California, licensed in California (15530-RAC) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1114654506
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMATTHEW WADA
Location Address1230 N MARENGO AVEPasadena, CA 91103-2217
Mailing Address1230 N Marengo AvePasadena, CA 91103-2217 · (626) 633-2593
Phone(626) 633-2593
Sole ProprietorNo
Enumeration DateAugust 4, 2022
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1114654506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 15530-RAC
Also ListedTechnicianTaxonomy 374700000X
1230 N MARENGO AVE, Pasadena, CA 91103
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Other Providers at the Same Location NPPES 20

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

LUIS ALFREDO NAVA
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
ROGELIO NENE
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
CHRISTIAN JOHN ISPECKY
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
IVAN VILLASENOR
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MICHAEL GREGORY ROFFEIS
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MRS. ANNA NUNEZ CATCII
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
RUBEN TOVMASYAN
Technician/Technologist
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MS. SHELLY DEE WOOD JD
Peer Specialist
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124

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 Matthew Wada's NPI number?

The NPI number for Matthew Wada is 1114654506. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Matthew Wada located?

Matthew Wada practices at 1230 N Marengo Ave, Pasadena, CA 91103. The listed phone number is (626) 633-2593.

What is Matthew Wada's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Matthew Wada was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.