LICET IMBERT MATOS MD
NPI 1164002135
Student in an Organized Health Care Education/Training Program in Bakersfield, CA

Q: What is Licet Imbert Matos's NPI number?

The NPI number for Licet Imbert Matos is 1164002135. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Licet Imbert Matos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment

7800 NILES ST, BAKERSFIELD, CA 93306(661) 328-4284(661) 616-9977 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Apr 13, 2021 (2 updates tracked since 2021).

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About Licet Imbert Matos Md NPPES

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

LICET IMBERT MATOS MD (NPI 1164002135) is an individual student in an organized health care education/training program in Bakersfield, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1164002135

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLICET IMBERT MATOSCredential: MD

Location Address7800 NILES STBakersfield, CA 93306-4922

Mailing Address7800 Niles StBakersfield, CA 93306-4922 · (661) 328-4284 · Fax (661) 616-9977

Phone(661) 328-4284

Fax(661) 616-9977

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateApril 13, 2021

Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration

NPPES CertifiedOctober 17, 2023

✔ NPI 1164002135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7800 NILES ST, Bakersfield, CA 93306

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Licet Imbert Matos Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254737125

PECOS Enrollment IDI20240910001224

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MARIANO E RUBIO GARCIA

Student in an Organized Health Care Education/Training Program