MOUSA MATAR MD INC
NPI 1558094904
Internal Medicine in Riverside, CA

Q: What is Mousa Matar MD Inc's NPI number?

The NPI number for Mousa Matar MD Inc is 1558094904. It was assigned to this organization in the NPPES registry on July 5, 2022.

Q: What is Mousa Matar MD Inc's specialty?

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

Active since July 05, 2022

4440 BROCKTON AVE STE 100, RIVERSIDE, CA 92501(773) 814-8200(951) 788-6380 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2023, Jul 7, 2022 (2 updates tracked since 2022).

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About Mousa Matar Md Inc NPPES

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

MOUSA MATAR MD INC (NPI 1558094904) is a healthcare organization registered as an internal medicine in Riverside, California and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Riverside and lists Mousa Matar, Md, as its authorized official.

NPPES Registry Identity

NPI1558094904

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMOUSA MATAR MD INC

Location Address4440 BROCKTON AVE STE 100Riverside, CA 92501-4026

Mailing AddressPo Box 1810Upland, CA 91785-1810 · (773) 814-8200 · Fax (951) 750-1091

Phone(773) 814-8200

Fax(951) 788-6380

Organization SubpartYes

Authorized OfficialMousa MatarMd · (773) 814-8200

Enumeration DateJuly 5, 2022

Last NPPES UpdateFebruary 20, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2023

✔ NPI 1558094904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

4440 BROCKTON AVE STE 100, Riverside, CA 92501

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Secondary Practice Location 1

Location 14100 Central Ave Ste 106Riverside, CA 92506-2930 · Phone (951) 788-8332 · Fax (951) 788-6380

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

LUAMY GABRIELA CORNEJO PNP

Nurse Practitioner (Pediatrics)