ST MATEONA MED GROUP A MEDICAL CORPORATION
NPI 1457236549
General Practice in Van Nuys, CA

Active since August 07, 2025
14624 SHERMAN WAY STE 401, VAN NUYS, CA 91405(818) 262-4401 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2025, Aug 7, 2025 (2 updates tracked since 2025).

About St Mateona Med Group A Medical Corporation NPPES

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

ST MATEONA MED GROUP A MEDICAL CORPORATION (NPI 1457236549) is a healthcare organization registered as a general practice in Van Nuys, California and active in the NPI registry since August 2025. The organization lists Kuixing Zhang, President, as its authorized official.

NPPES Registry Identity

NPI1457236549
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameST MATEONA MED GROUP A MEDICAL CORPORATION
Location Address14624 SHERMAN WAY STE 401Van Nuys, CA 91405-5848
Mailing Address14624 Sherman Way Ste 401Van Nuys, CA 91405-5848 · (818) 262-4401
Organization SubpartNo
Authorized OfficialKuixing ZhangPresident · (818) 262-4401
Enumeration DateAugust 7, 2025
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1457236549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
14624 SHERMAN WAY STE 401, Van Nuys, CA 91405

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Mateona Med Group A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St Mateona Med Group A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1982087110
10431 N WOODROW AVE
Fresno, CA 93730
(858) 717-4926
✔ PECOS✔ Accepts Medicare199 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 St Mateona Med Group A Medical Corporation's NPI number?

The NPI number for St Mateona Med Group A Medical Corporation is 1457236549. It was assigned to this organization in the NPPES registry on August 7, 2025.

Where is St Mateona Med Group A Medical Corporation located?

St Mateona Med Group A Medical Corporation is located at 14624 Sherman Way Ste 401, Van Nuys, CA 91405. The listed phone number is (818) 262-4401.

What is St Mateona Med Group A Medical Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is St Mateona Med Group A Medical Corporation enrolled in Medicare?

Yes. St Mateona Med Group A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Mateona Med Group A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to St Mateona Med Group A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St Mateona Med Group A Medical Corporation was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.