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Active NPI 1902504194 Individual Practitioner Male Practitioner

Brian Jesse Mata

Driver • Los Angeles, CA

Professional Overview & Biography Verified Profile Summary

Brian Mata is a registered healthcare professional specializing in Driver in Los Angeles, CA. Practice services are available at 12021 SOUTH WILMINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12021 South Wilmington Ave
Building 18 Suite 300

Los Angeles, CA 90059

Telephone 4244546041
Associated Practice Facility / Clinic
🏢 Los Angeles County Department Of Mental Health Facility NPI 1487687018

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Los Angeles, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-17
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Laquita Gill

Physician Assistant

NPI 1083557136
Erainna Yoakum , SUD COUNSELOR

Counselor - Addiction (Substance Use Disorder)

NPI 1245088459

SUDCOUNSELOR

Hayly Vargas

Community Health Worker

NPI 1255030839
Christopher Garcia

Registered Nurse

NPI 1366393399
Kyra Lewis

Licensed Vocational Nurse

NPI 1497533798
NPI 1699489054

RADTI

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2023

Registered at 12021 SOUTH WILMINGTON AVE, BUILDING 18 SUITE 300, LOS ANGELES, CA 90059 (Tel: 4244546041)

📍
Updated Business Mailing Address February 17, 2023

Registered at 12021 SOUTH WILMINGTON AVE, BUILDING 18 SUITE 300, LOS ANGELES, CA 90059 (Tel: 4244546041)

👤
Provider Name / Credentials Updated February 17, 2023

Recorded as BRIAN MATA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2023

Driver

🟢
Initial NPI Registration & Enumeration February 17, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902504194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2023
Last Update: February 17, 2023
Sole Proprietor: No
Update or Correct Profile

Mailing Address

12021 South Wilmington Ave, Building 18 Suite 300

Los Angeles, CA 90059

Phone: 4244546041

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.