MEDICARE: MATYA AMMA COOKSEY STRICKLAND FNP

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	363LF0000X	Family Nurse Practitioner	19549	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	W5352	OTHER	CA	UPIN
2	19549	OTHER	CA	LIC

General Provider Information

NPI Number	:	1154400315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATYA AMMA COOKSEY STRICKLAND FNP

Provider Business Mailing Address
First Line	:	823 GATEWAY CENTER WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-4541
Country	:	US
Telephone Number	:	619-515-2300
Fax Number	:	619-906-4564

Provider Business Practice Location Address
First Line	:	2391 ISLAND AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-2941
Country	:	US
Telephone Number	:	619-515-2435
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	08/18/2023

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1568648368 — FAMILY HEALTH CENTERS OF SAN DIEGO
Practice Location Address:

2391 ISLAND AVE
SAN DIEGO, CA
92102-2941

Practice Phone: 619-515-2300
Practice Fax: 619-233-2621

1861678674 — FAMILY HEALTH CENTERS OF SAN DIEGO
Practice Location Address:

2391 ISLAND AVE
SAN DIEGO, CA
92102-2941

Practice Phone: 619-515-2300
Practice Fax: 619-233-2621

1932603248 — LELAND RUSSELL SOIEFER MD
Practice Location Address:

2391 ISLAND AVE
SAN DIEGO, CA
92102-2941

Practice Phone: 619-515-2435
Practice Fax:

1578795688 — LIFESPAN PHYSIOTHERAPY STAFFING, INC
Practice Location Address:

2941 4TH AVE
SAN DIEGO, CA
92103

Practice Phone: 619-888-5838
Practice Fax: 619-568-3313

1396392536 — DR. ROBERT HARTNETT III PT, DPT
Practice Location Address:

2941 4TH AVE
SAN DIEGO, CA
92103-5901

Practice Phone: 619-888-5838
Practice Fax:

Directions to “ MATYA AMMA COOKSEY STRICKLAND FNP” 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.