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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSIKA GEORGES MATTA MD
NPI 1417523788
Internal Medicine in Loma Linda, CA

Active since May 27, 2021PECOS Enrolled
25455 BARTON RD STE 206A, LOMA LINDA, CA 92354(909) 558-4000 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 26, 2026, Aug 21, 2026, Dec 18, 2024 and 2 more (5 updates tracked since 2021).

About Jessika Georges Matta Md NPPES

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

JESSIKA GEORGES MATTA MD (NPI 1417523788) is an individual internal medicine provider in Loma Linda, California, licensed in California (A210031) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417523788
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJESSIKA GEORGES MATTACredential: MD
Location Address25455 BARTON RD STE 206ALoma Linda, CA 92354-3130
Mailing Address25455 Barton Rd Ste 206aLoma Linda, CA 92354-3130 · (909) 558-4000
Phone(909) 558-4000
Sole ProprietorNo
Enumeration DateMay 27, 2021
Last NPPES UpdateAugust 26, 20265 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1417523788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A210031
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License A210031 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
25455 BARTON RD STE 206A, Loma Linda, CA 92354
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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 (PECOS)

Jessika Georges Matta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

DR. ROGER D. WOODRUFF MD
Family Medicine
25455 BARTON RD STE 206A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6505
DR. CHRISTINE S KIM PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
25455 BARTON RD STE 206A, DEPARTMENT OF FAMILY MEDICINE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
DANIEL ROBERT REICHERT M.D.
Family Medicine
25455 BARTON RD STE 206A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
BRENDA LYNN REA MD
Family Medicine
25455 BARTON RD STE 206A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6688
DR. KAREN CHILD SHANNON MD
Family Medicine
25455 BARTON RD STE 206A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
KRISTIN ANNE JEAN DAVIS PA-C
Physician Assistant
25455 BARTON RD STE 206A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6511

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 Jessika Matta's NPI number?

The NPI number for Jessika Matta is 1417523788. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Jessika Matta located?

Jessika Matta practices at 25455 Barton Rd Ste 206A, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is Jessika Matta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jessika Matta enrolled in Medicare?

Yes. Jessika Matta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessika Matta was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.