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OLMAN MATA DC
NPI 1174688253
Chiropractor in Covina, CA

Active since December 27, 2006
461 W BADILLO ST, COVINA, CA 91723(626) 966-4469(626) 915-8929 Get Directions Write a Review

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

About Olman Mata Dc NPPES

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

OLMAN MATA DC (NPI 1174688253) is an individual chiropractor in Covina, California, licensed in California (22763) and active in the NPI registry since December 2006. He is a graduate of Los Angeles College Of Chiropractic (1991).

NPPES Registry Identity

NPI1174688253
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameOLMAN MATACredential: DC
Location Address461 W BADILLO STCovina, CA 91723-1834
Mailing Address461 W Badillo StCovina, CA 91723 · (626) 966-4469 · Fax (626) 915-8929
Phone(626) 966-4469
Fax(626) 915-8929
Sole ProprietorNo
Medical School CMSLos Angeles College Of ChiropracticGraduated 1991
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174688253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 22763
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
461 W BADILLO ST, Covina, CA 91723
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Other Identifiers 1

Medicare ID-Type UnspecifiedDC22763CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olman Mata Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608924758
PECOS Enrollment IDI20090430000059

Other Providers at the Same Location NPPES

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

MATA CHIROPRACTIC, INC.
Chiropractor
461 W BADILLO ST
COVINA, CA 91723
Los Angeles County (626) 966-4469

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 Olman Mata's NPI number?

The NPI number for Olman Mata is 1174688253. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Olman Mata located?

Olman Mata practices at 461 W Badillo St, Covina, CA 91723. The listed phone number is (626) 966-4469.

What is Olman Mata's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Olman Mata enrolled in Medicare?

Yes. Olman Mata is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olman 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.