Healthcare Provider Details

I. General information

NPI: 1033166129
Provider Name (Legal Business Name): SAYONARA MATO MD, MPH&TM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA SAYONARA PEREZ MATO MD, MPH&TM

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL
MADERA CA
93636-8761
US

IV. Provider business mailing address

9300 VALLEY CHILDRENS PL
MADERA CA
93636-8761
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-5700
  • Fax:
Mailing address:
  • Phone: 559-353-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC193210
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberC193210
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: