MEDICARE: NEUROMATTERS AND WELLNESS APNC

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 APNC

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	:	03/18/2026

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