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AMATALLC
NPI 1164143020
Clinic/Center - Methadone in Corona, CA

Active since September 08, 2022
222 W 6TH ST, CORONA, CA 92882(909) 379-9237(888) 507-7087 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 20, 2022, Sep 8, 2022 (2 updates tracked since 2022).

About Amatallc NPPES

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

AMATALLC (NPI 1164143020) is a healthcare organization registered as a methadone in Corona, California and active in the NPI registry since September 2022. The organization lists Mason Matthew Terry, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164143020
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAMATALLC
Location Address222 W 6TH STCorona, CA 92882-3301
Mailing Address222 W 6th StCorona, CA 92882-3301 · (909) 379-9237
Phone(909) 379-9237
Fax(888) 507-7087
Organization SubpartNo
Authorized OfficialMason Matthew TerryOffice Manager · (909) 379-9237
Enumeration DateSeptember 8, 2022
Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1164143020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
222 W 6TH ST, Corona, CA 92882
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Other Providers at the Same Location NPPES 11

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

NATALIE OLAIZ LVN
Licensed Vocational Nurse
222 W 6TH ST
CORONA, CA 92882
Riverside County (886) 826-2828
CHANNING RENEE LACKEY
Counselor (Addiction (Substance Use Disorder))
222 W 6TH ST
CORONA, CA 92882
Riverside County (888) 682-6282
SHAUN KELLEY
Licensed Vocational Nurse
222 W 6TH ST
CORONA, CA 92882
Riverside County (951) 349-4695
JISEUNG YOON MD
Preventive Medicine (Addiction Medicine)
222 W 6TH ST
CORONA, CA 92882
Riverside County (909) 485-7974
DANIEL EDWARD LEANOS
Counselor
222 W 6TH ST
CORONA, CA 92882
Riverside County (888) 682-6282
CAROLINA ISABELL GOMEZ LVN
Licensed Vocational Nurse
222 W 6TH ST
CORONA, CA 92882
Riverside County (888) 682-6282
STEPHANIE G HUFF
Licensed Vocational Nurse
222 W 6TH ST
CORONA, CA 92882
Riverside County (888) 682-6282
STEPHANIE CRISTINA ZATARAIN PHYSICIAN ASSISTANT
Physician Assistant
222 W 6TH ST
CORONA, CA 92882
Riverside County (951) 278-2530

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 Amatallc's NPI number?

The NPI number for Amatallc is 1164143020. It was assigned to this organization in the NPPES registry on September 8, 2022.

Where is Amatallc located?

Amatallc is located at 222 W 6th St, Corona, CA 92882. The listed phone number is (909) 379-9237.

What is Amatallc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Amatallc was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.