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DAMIEN MATA
NPI 1457188781
Peer Specialist in San Pedro, CA

Active since September 19, 2024
505 S PACIFIC AVE, SAN PEDRO, CA 90731(310) 519-8723 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Damien Mata NPPES

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

DAMIEN MATA (NPI 1457188781) is an individual peer specialist in San Pedro, California, licensed in California (MPSS-FMKVIZ) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1457188781
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDAMIEN MATA
Location Address505 S PACIFIC AVESan Pedro, CA 90731-2656
Mailing Address244 W 14th StSan Pedro, CA 90731-4315 · (310) 519-8723
Phone(310) 519-8723
Sole ProprietorNo
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1457188781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-FMKVIZ
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
505 S PACIFIC AVE, San Pedro, CA 90731
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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.

MULTICARE MEDICAL CENTER CORP
Internal Medicine
505 S PACIFIC AVE, SUITE #201
SAN PEDRO, CA 90731
Los Angeles County (424) 570-6960
GINA HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723
JOHN ZIVKOVIC
Peer Specialist
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (562) 319-8723
LENA INEZ PAULOS
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 510-8723
KELLY SWEARINGEN
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 510-8723
JEFFERY YOUNGBLOOD
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723
MRS. MARGARET LENTZ REAVEY
Counselor
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
LISA TOVES
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723

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 Damien Mata's NPI number?

The NPI number for Damien Mata is 1457188781. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Damien Mata located?

Damien Mata practices at 505 S Pacific Ave, San Pedro, CA 90731. The listed phone number is (310) 519-8723.

What is Damien Mata's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Damien Mata was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.