MATTHEW FAVA
NPI 1821117284
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lodi, CA

Active since March 28, 2007
404 W PINE ST, LODI, CA 95240(209) 769-9554(209) 435-0894 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Fava NPPES

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

MATTHEW FAVA (NPI 1821117284) is a healthcare organization registered as a mental health (including community mental health center) in Lodi, California and active in the NPI registry since March 2007. The organization lists Matthew Joseph Fava, Doctor, as its authorized official.

NPPES Registry Identity

NPI1821117284
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMATTHEW FAVA
Location Address404 W PINE STLodi, CA 95240-2048
Mailing Address507 Yokuts DrLodi, CA 95240-0690 · (209) 769-9554
Fax(209) 435-0894
Organization SubpartNo
Authorized OfficialMatthew Joseph FavaDoctor · (209) 769-9554
Enumeration DateMarch 28, 2007
Last NPPES UpdateApril 5, 2012
NPI 1821117284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in CA · 47392
404 W PINE ST, Lodi, CA 95240

Other Providers at the Same Location NPPES 3

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

Chiropractor
404 W PINE ST, STE 14
LODI, CA 95240
Chiropractor
404 W PINE ST, SUITE 4
LODI, CA 95240
Marriage & Family Therapist
404 W PINE ST, SUTIE 1
LODI, CA 95240

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 Matthew Fava's NPI number?

The NPI number for Matthew Fava is 1821117284. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Matthew Fava located?

Matthew Fava is located at 404 W Pine St, Lodi, CA 95240. The listed phone number is (209) 769-9554.

What is Matthew Fava's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Matthew Fava was last updated on April 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.