Healthcare Provider Details

I. General information

NPI: 1891642237
Provider Name (Legal Business Name): BRITTANY SAMANTHA MATTIA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 GARDEN VIEW CT STE 204
ENCINITAS CA
92024-2478
US

IV. Provider business mailing address

1592 LAWNDALE RD
EL CAJON CA
92019-3775
US

V. Phone/Fax

Practice location:
  • Phone: 760-452-6334
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95039005
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: