KARLA MATAELE PA NPI 1275860868

NPI Information

NPI: 1275860868
Provider Name: KARLA MATAELE, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA
ZIP 92121
Phone: (801) 358-8220
Get Directions

Karla Mataele, PA is a medical physician assistant in San Diego, CA. Karla Mataele, PA NPI is 1275860868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA
ZIP 92121-250
Phone: (801) 358-8220

The enumeration date for this NPI number is 11/3/2009 and was last updated on 5/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	7495099-1206	UTAH	No
2	363AM0700X	Physician Assistant	Medical	PA21532	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7495099-1206	OTHER	UTAH	STATE LICENSE
2	PA21532	OTHER	CALIFORNIA	DEPARMENT OF CONSUMER AFFAIRS PHYSCIAN ASSISTANT BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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