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PENNY ANGEL MATA MEDICAL ASSISTANT
NPI 1518601020
Specialist/Technologist in Caldwell, ID

Active since April 21, 2022
4521 THOMAS JEFFERSON ST, CALDWELL, ID 83605(208) 454-4820(208) 454-4859 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Penny Angel Mata Medical Assistant NPPES

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

PENNY ANGEL MATA MEDICAL ASSISTANT (NPI 1518601020) is an individual specialist/technologist in Caldwell, Idaho and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1518601020
Entity TypeIndividualFemale
Primary Taxonomy235500000X
Provider Legal NamePENNY ANGEL MATACredential: MEDICAL ASSISTANT
Location Address4521 THOMAS JEFFERSON STCaldwell, ID 83605-5100
Mailing Address4521 Thomas Jefferson StCaldwell, ID 83605-5100 · (208) 454-4820 · Fax (208) 454-4859
Phone(208) 454-4820
Fax(208) 454-4859
Sole ProprietorNo
Enumeration DateApril 21, 2022
NPPES CertifiedApril 21, 2022
✔ NPI 1518601020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/TechnologistSpeech, Language and Hearing Service Providers
Taxonomy Code235500000X
Definition

General classification identifying speech, language and hearing services individuals who are trained on a specific piece of equipment or technical procedure.

4521 THOMAS JEFFERSON ST, Caldwell, ID 83605
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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.

MS. JANET E MITCHELL PA-C
Physician Assistant
4521 THOMAS JEFFERSON ST
CALDWELL, ID 83605
Canyon County (208) 454-4820
LEIGH SHARMA PH.D.
Psychologist (Clinical)
4521 THOMAS JEFFERSON ST
CALDWELL, ID 83605
Canyon County (208) 454-4831
SHERRI LYNN TALFORD
Registered Nurse
4521 THOMAS JEFFERSON ST
CALDWELL, ID 83605
Canyon County (208) 454-4820
ROBIN ANN TORREY
Licensed Practical Nurse
4521 THOMAS JEFFERSON ST
CALDWELL, ID 83605
Canyon County (208) 454-4820
HARVEY S SANTOS BETETA RN
Registered Nurse (Administrator)
4521 THOMAS JEFFERSON ST
CALDWELL, ID 83605
Canyon County (208) 454-4820
LESLIE ANNETTE HAVRILAK
Registered Nurse
4521 THOMAS JEFFERSON ST
CALDWELL, ID 83605
Canyon County (208) 454-4820
MS. RITA BOMAN RN
Registered Nurse
4521 THOMAS JEFFERSON ST
CALDWELL, ID 83605
Canyon County (208) 454-4820
JENNY LYNN SELBY RN
Registered Nurse
4521 THOMAS JEFFERSON ST
CALDWELL, ID 83605
Canyon County (208) 454-4820

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 Penny Mata's NPI number?

The NPI number for Penny Mata is 1518601020. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Penny Mata located?

Penny Mata practices at 4521 Thomas Jefferson St, Caldwell, ID 83605. The listed phone number is (208) 454-4820.

What is Penny Mata's specialty?

The primary specialty registered for this NPI is Specialist/Technologist with taxonomy code 235500000X.

When was this NPI record last updated?

The NPPES record for Penny Mata was last updated on April 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.