Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jorge A Mata, MD

Individual provider Family Medicine Physician · NPI 1528150778

Dr. Jorge A Mata, MD is a Family Medicine Physician in San Ysidro, California. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4004 Beyer Blvd
San Ysidro, CA 92173-2007
Phone: (619) 428-4463
Fax: (619) 428-2625
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP00001381 (WA)

Record details

NPI number1528150778
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESDecember 1, 2021
Mailing address4004 Beyer Blvd, San Ysidro, CA 92173-2007

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