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DAVID GUADALUPE MATA JR. ANP
NPI 1790129815
Nurse Practitioner - Adult Health in San Antonio, TX

Active since April 19, 2013PECOS Enrolled
18707 HARDY OAK BLVD STE 530, SAN ANTONIO, TX 78258(210) 495-8280(210) 481-3116 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Guadalupe Mata Jr. Anp NPPES

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

DAVID GUADALUPE MATA JR. ANP (NPI 1790129815) is an individual adult health provider in San Antonio, Texas, licensed in Texas (619179) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790129815
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDAVID GUADALUPE MATA JR.Credential: ANP
Location Address18707 HARDY OAK BLVD STE 530San Antonio, TX 78258-4791
Mailing Address7913 Bandera RdSan Antonio, TX 78250-6511 · (210) 698-9841
Phone(210) 495-8280
Fax(210) 481-3116
Sole ProprietorNo
Enumeration DateApril 19, 2013
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1790129815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · 619179
18707 HARDY OAK BLVD STE 530, San Antonio, TX 78258
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Guadalupe Mata Jr. Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show David Mata reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cs Pacs 3 Southwest, LLC
208 mi
Hospitalist
5800 W BAKER RD
Baytown, TX 77520
  • Reassigned Medicare billing, Texas enrollment
  • 131 clinicians in this Medicare group
NPI 1275398430 (281) 425-1200
Ipc Pac Healthcare Services Of Texas PLLC
249 mi
Hospitalist
14131 MIDWAY RD, SUITE 620
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • 142 clinicians in this Medicare group
NPI 1194174201 (972) 249-0200
Transtreme, LLC
689 mi
Family
3135 PROSPECT AVE
Kansas City, MO 64128
  • Reassigned Medicare billing, Texas enrollment
  • 15 clinicians in this Medicare group
NPI 1003290453 (816) 209-1237
Nv Pacs 2 LLC
1,076 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DR. HECTOR JAVIER DIAZ RODRIGUEZ M.D.
Internal Medicine (Nephrology)
18707 HARDY OAK BLVD STE 530
SAN ANTONIO, TX 78258
Bexar County (210) 495-8280
REBECCA R. GILLIAM AGACNP-BC
Nurse Practitioner (Gerontology)
18707 HARDY OAK BLVD STE 530
SAN ANTONIO, TX 78258
Bexar County (210) 495-8280
SAYED A TABATABAI M.D.
Internal Medicine (Nephrology)
18707 HARDY OAK BLVD STE 530
SAN ANTONIO, TX 78258
Bexar County (210) 495-8280
MRS. AMANDA M DAY MSN, AGACNP-BC, CCRN
Nurse Practitioner (Acute Care)
18707 HARDY OAK BLVD STE 530
SAN ANTONIO, TX 78258
Bexar County (210) 495-8280
MEGAN CAMACHO
Nurse Practitioner (Acute Care)
18707 HARDY OAK BLVD STE 530
SAN ANTONIO, TX 78258
Bexar County (210) 495-8280
DR. TARRA FAULK DO
Internal Medicine (Nephrology)
18707 HARDY OAK BLVD STE 530
SAN ANTONIO, TX 78258
Bexar County (210) 495-8280
SAMIN SHARMA MD
Internal Medicine (Nephrology)
18707 HARDY OAK BLVD STE 530
SAN ANTONIO, TX 78258
Bexar County (210) 495-8280
DEANA GARCIA AGACNP
Nurse Practitioner (Acute Care)
18707 HARDY OAK BLVD STE 530
SAN ANTONIO, TX 78258
Bexar County (210) 495-8280

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 David Mata's NPI number?

The NPI number for David Mata is 1790129815. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Where is David Mata located?

David Mata practices at 18707 Hardy Oak Blvd Ste 530, San Antonio, TX 78258. The listed phone number is (210) 495-8280.

What is David Mata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is David Mata enrolled in Medicare?

Yes. David Mata is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Mata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Mata reassigns Medicare benefits to 4 organizations: Cs Pacs 3 Southwest, LLC (Baytown, TX), Ipc Pac Healthcare Services Of Texas PLLC (Addison, TX), Transtreme, LLC (Kansas City, MO) and Nv Pacs 2 LLC (Las Vegas, NV). Each 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 David Mata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Mata was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.