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

Matthew Wada

Individual provider Technician · NPI 1114654506

Matthew Wada is a Technician in Pasadena, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1230 N Marengo Ave
Pasadena, CA 91103-2217
Phone: (626) 633-2593
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 15530-RAC (CA)
Technician Taxonomy 374700000X

Record details

NPI number1114654506
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2022
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address1230 N Marengo Ave, Pasadena, CA 91103-2217

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