ETIENNE JEAN DE DIEU MATANDA MATANDA
NPI 1811558703
Pharmacist in Kerman, CA

Active since June 22, 2019
14967 W WHITESBRIDGE AVE, KERMAN, CA 93630(559) 842-0030 Get Directions Write a Review

NPPES record last updated: June 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Etienne Jean De Dieu Matanda Matanda NPPES

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

ETIENNE JEAN DE DIEU MATANDA MATANDA (NPI 1811558703) is an individual pharmacist in Kerman, California, licensed in California (79185) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1811558703
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameETIENNE JEAN DE DIEU MATANDA MATANDA
Location Address14967 W WHITESBRIDGE AVEKerman, CA 93630-1111
Mailing Address285 S Kona AveFresno, CA 93727-3481 · (254) 366-1507
Sole ProprietorYes
Enumeration DateJune 22, 2019
NPI 1811558703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 79185
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
14967 W WHITESBRIDGE AVE, Kerman, CA 93630

Other Providers at the Same Location NPPES 2

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

Pharmacist
14967 W WHITESBRIDGE AVE
KERMAN, CA 93630
Pharmacy (Community/Retail Pharmacy)
14967 W WHITESBRIDGE AVE
KERMAN, CA 93630

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 Etienne Matanda Matanda's NPI number?

The NPI number for Etienne Matanda Matanda is 1811558703. It was assigned to this individual provider in the NPPES registry on June 22, 2019.

Where is Etienne Matanda Matanda located?

Etienne Matanda Matanda practices at 14967 W Whitesbridge Ave, Kerman, CA 93630. The listed phone number is (559) 842-0030.

What is Etienne Matanda Matanda's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Etienne Matanda Matanda was last updated on June 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.