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DR. JORGE A MATA MD
NPI 1528150778
Family Medicine in San Ysidro, CA

Active since September 28, 2006
4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 428-4463(619) 428-2625 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jorge A Mata Md NPPES

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

DR. JORGE A MATA MD (NPI 1528150778) is an individual family medicine provider in San Ysidro, California, licensed in Washington (OP00001381) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1528150778
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JORGE A MATACredential: MD
Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007
Mailing Address4004 Beyer BlvdSan Ysidro, CA 92173-2007 · (619) 428-4463 · Fax (619) 428-2625
Phone(619) 428-4463
Fax(619) 428-2625
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 1, 2021
✔ NPI 1528150778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP00001381
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4004 BEYER BLVD, San Ysidro, CA 92173
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Other Identifiers 1

OtherFHC18880FMedi Cal

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.

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC
Clinic/Center (Rural Health)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 205-6331
VIRGINIA LIERAS SANCHEZ RN
Registered Nurse (Infection Control)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
INGA NEILSEN GONZALEZ MFC
Marriage & Family Therapist
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 428-4463
HUNG GI PA-C
Physician Assistant (Medical)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
SHARONYA SHRIVASTAVA
Internal Medicine
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
DR. MARTIN VALERA CONSUNJI MD
Internal Medicine
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
DR. PATRICIA A GOMEZ-NARANJO MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 428-4463
KRISTINE PORTO MADURSKI PA
Physician Assistant
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 428-4463

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 Jorge Mata's NPI number?

The NPI number for Jorge Mata is 1528150778. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Jorge Mata located?

Jorge Mata practices at 4004 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 428-4463.

What is Jorge Mata's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jorge Mata was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.