KENNETH PAUL MATA
NPI 1194310953
Pharmacist in Los Angeles, CA

Active since March 03, 2021
4867 W SUNSET BLVD, LOS ANGELES, CA 90027(818) 438-7279 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2022, Mar 3, 2021 (2 updates tracked since 2021).

About Kenneth Paul Mata NPPES

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

KENNETH PAUL MATA (NPI 1194310953) is an individual pharmacist in Los Angeles, California, licensed in California (87473) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1194310953
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKENNETH PAUL MATA
Location Address4867 W SUNSET BLVDLos Angeles, CA 90027-5969
Mailing Address8836 Jacaranda Unit FMontclair, CA 91763-1357
Sole ProprietorYes
Enumeration DateMarch 3, 2021
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
NPI 1194310953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 87473
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4867 W SUNSET BLVD, Los Angeles, CA 90027

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.

Nurse Practitioner (Gerontology)
4867 W SUNSET BLVD, 6TH FLOOR - INTENSIVE CARE UNIT
LOS ANGELES, CA 90027
Respiratory Therapist, Certified
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Internal Medicine (Nephrology)
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Nurse Anesthetist, Certified Registered
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Pharmacist
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Speech-Language Pathologist
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Pharmacist
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Respiratory Therapist, Registered
4867 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Kenneth Paul Mata's NPI number?

The NPI number for Kenneth Paul Mata is 1194310953. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Kenneth Paul Mata located?

Kenneth Paul Mata practices at 4867 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (818) 438-7279.

What is Kenneth Paul Mata's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kenneth Paul Mata was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.