DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARY SAMPLE-MATTOS

MEDICARE: MARY SAMPLE-MATTOS
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
1106H00000XMarriage & Family Therapist159233CA

General Provider Information

NPI Number : 1073342960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY SAMPLE-MATTOS
Provider Business Mailing Address
First Line : 1480 LINCOLN AVE
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-2084
Country : US
Telephone Number : 415-368-5071
Fax Number :
Provider Business Practice Location Address
First Line : 1486 HUNTINGTON AVE STE 100
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-5971
Country : US
Telephone Number : 415-368-5071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2024
Last Update Date : 12/09/2025

Similar Medicare Providers

1699268029 — KAITLYN IKEDA
Practice Location Address:
1486 HUNTINGTON AVE STE 100
SOUTH SAN FRANCISCO, CA
94080-5971
Practice Phone: 650-877-8642
Practice Fax:
1457628950 — MS. ROSARIO ALVAREZ
Practice Location Address:
1486 HUNTINGTON AVE STE 100
SOUTH SAN FRANCISCO, CA
94080-5971
Practice Phone: 650-877-8642
Practice Fax:
1689736571 — MARGARET PAGE HITCHCOCK M.S.
Practice Location Address:
1486 HUNTINGTON AVE STE 100
SOUTH SAN FRANCISCO, CA
94080-5971
Practice Phone: 650-877-8642
Practice Fax: 628-239-0525
1932518198 — ALETHEA GARCIA
Practice Location Address:
1486 HUNTINGTON AVE STE 100
SOUTH SAN FRANCISCO, CA
94080-5971
Practice Phone: 650-877-8642
Practice Fax:
1174996516 — NOEL S. MIRANDA, DMD INC.
Practice Location Address:
1486 HUNTINGTON AVE STE 302
SOUTH SAN FRANCISCO, CA
94080-5971
Practice Phone: 650-583-8822
Practice Fax:
1164886842 — MATEUS PORTER LMFT
Practice Location Address:
1486 HUNTINGTON AVE STE 100
SOUTH SAN FRANCISCO, CA
94080-5971
Practice Phone: 650-877-8642
Practice Fax: 628-239-0525

Directions to “ MARY SAMPLE-MATTOS ” 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.