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DANIEL THOMAS MATTOX
NPI 1558778043
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since July 16, 2014
2305 HISTORIC DECATUR RD STE 100, SAN DIEGO, CA 92106(619) 613-2791(619) 415-8415 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Jan 6, 2025, Dec 18, 2024 and 1 more (4 updates tracked since 2024).

About Daniel Thomas Mattox NPPES

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

DANIEL THOMAS MATTOX (NPI 1558778043) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95023069) and active in the NPI registry since July 2014. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558778043
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDANIEL THOMAS MATTOX
Location Address2305 HISTORIC DECATUR RD STE 100San Diego, CA 92106-6071
Mailing Address26265 Monticello WayMurrieta, CA 92563-4094 · (626) 848-6670
Phone(619) 613-2791
Fax(619) 415-8415
Sole ProprietorNo
Enumeration DateJuly 16, 2014
Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1558778043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CA · 95023069✔ Licensed in HI · APRN-4066
2305 HISTORIC DECATUR RD STE 100, San Diego, CA 92106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1500 Ala Moana Blvd Ste 7400Honolulu, HI 96813-4902 · Phone (808) 563-4128 · Fax (619) 415-8415
Location 22523 W 7th StLos Angeles, CA 90057-3801 · Phone (626) 848-6670

Other Providers at the Same Location NPPES 12

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

CARMEN L LUK DPT
Physical Therapist
2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
San Diego County (760) 209-4868
CS CARE
In Home Supportive Care
2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
San Diego County (203) 623-9366
KIM ELIZIER SORRELL LMFT
Counselor (Mental Health)
2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
San Diego County (619) 372-1788
LAUREN NICOLE MASON MFT
Marriage & Family Therapist
2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
San Diego County (619) 780-7100
PERLITA CECILIA ORTIZ
Case Manager/Care Coordinator
2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
San Diego County (619) 207-1713
TACTICAL REHABILITATION, INC.
Durable Medical Equipment & Medical Supplies
2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
San Diego County (423) 278-9023
EVEREST MOBILE PHYSICAL THERAPY CORPORATION
Clinic/Center (Physical Therapy)
2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
San Diego County (760) 209-4868
INTEGRATIVE MIND & BODY PSYCHOTHERAPY, INC.
Psychologist (Clinical)
2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
San Diego County (619) 354-2682

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 Daniel Mattox's NPI number?

The NPI number for Daniel Mattox is 1558778043. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Daniel Mattox located?

Daniel Mattox practices at 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106. The listed phone number is (619) 613-2791.

What is Daniel Mattox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Daniel Mattox was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.