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BRIAN JESSE MATA
NPI 1902504194
Driver in Los Angeles, CA

Active since February 17, 2023
12021 SOUTH WILMINGTON AVE, BUILDING 18 SUITE 300, LOS ANGELES, CA 90059(424) 454-6041 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Jesse Mata NPPES

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

BRIAN JESSE MATA (NPI 1902504194) is an individual driver provider in Los Angeles, California and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1902504194
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameBRIAN JESSE MATA
Location Address12021 SOUTH WILMINGTON AVE, BUILDING 18 SUITE 300Los Angeles, CA 90059
Mailing Address12021 South Wilmington Ave, Building 18 Suite 300Los Angeles, CA 90059 · (424) 454-6041
Phone(424) 454-6041
Sole ProprietorNo
Enumeration DateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
✔ NPI 1902504194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
12021 SOUTH WILMINGTON AVE, Los Angeles, CA 90059
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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.

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
12021 SOUTH WILMINGTON AVE, STE 2D
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5000
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
12021 SOUTH WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5000
CHEYENNE PRINCESS DENNIS RADT- I
Adult Companion
12021 SOUTH WILMINGTON AVE, BLDG 18, STE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6041
MARTIN LUTHER KINGJR-MULTI-SERVICE AMBULATORY CARE CENTER
Pharmacy (Clinic Pharmacy)
12021 SOUTH WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-3972
HEALTHRIGHT 360
Substance Abuse Rehabilitation Facility
12021 SOUTH WILMINGTON AVE, BUILDING 18, SUITE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6020

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 Brian Mata's NPI number?

The NPI number for Brian Mata is 1902504194. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Where is Brian Mata located?

Brian Mata practices at 12021 South Wilmington Ave Building 18 Suite 300, Los Angeles, CA 90059. The listed phone number is (424) 454-6041.

What is Brian Mata's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Brian Mata was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.