MEDICARE: NEUROMATTERS AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1538931993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROMATTERS AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	914 E 8TH ST STE 210
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2565
Country	:	US
Telephone Number	:	619-837-2560
Fax Number	:	619-786-3637

Provider Business Practice Location Address
First Line	:	914 E 8TH ST STE 210
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2565
Country	:	US
Telephone Number	:	619-837-2560
Fax Number	:	619-786-3637

Authorized Official
Title or Position	:	CEO/PROVIDER
Name	:	SANDEE C SAN MATEO
Credential	:	PMHNP
Telephone Number	:	619-306-3920

Provider Enumeration Date	:	10/27/2023
Last Update Date	:	05/27/2026

Similar Medicare Providers

1518851567 — HOLISTIC ALLIANCE NURSING PCORP
Practice Location Address:

914 E 8TH ST STE 210
NATIONAL CITY, CA
91950-2565

Practice Phone: 858-402-0001
Practice Fax: 858-402-0002

1104262781 — TRAVIS DAVID LONG PA
Practice Location Address:

2565 ENTERPRISE RD STE 400
ORANGE CITY, FL
32763-8016

Practice Phone: 321-841-6444
Practice Fax: 321-842-1955

1104897453 — DR. PEDRO J CRUZ TORRES MD
Practice Location Address:

2565 ENTERPRISE RD , STE 400
ORANGE CITY, FL
32763-7912

Practice Phone: 386-201-9105
Practice Fax: 386-201-9106

1245334077 — OHIO CVS STORES LLC
Practice Location Address:

2565 LONDON GROVEPORT RD
GROVE CITY, OH
43123-9035

Practice Phone: 614-277-2921
Practice Fax:

1518053412 — BRIAN RANDLE DMD
Practice Location Address:

1140 BRICKYARD RD , 32B
SALT LAKE CITY, UT
84106-2565

Practice Phone: 801-474-9552
Practice Fax:

1134340698 — DR. JARED CRAIG JESPERSON DDS
Practice Location Address:

1140 BRICKYARD RD , #32B
SALT LAKE CITY, UT
84106-2565

Practice Phone: 801-474-9552
Practice Fax: 801-474-9558

Directions to “NEUROMATTERS AND WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.