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

Mariam Matta

Individual provider Pharmacist · NPI 1194209114

Mariam Matta is a Pharmacist in Antioch, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

3416 Deer Valley Rd
Antioch, CA 94531-6650
Phone: (925) 978-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH78597 (CA)

Record details

NPI number1194209114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 17, 2018
Last updated in NPPESSeptember 17, 2018
Mailing address200 Wilmot Rd, Deerfield, IL 60015-4620

Other providers in Antioch