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

Mr. Fred Ignacio Mata Jr.

Individual provider Counselor · NPI 1720249295

Mr. Fred Ignacio Mata Jr. is a Counselor in San Jose, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1885 Lundy Ave Ste 223
San Jose, CA 95131-1887
Phone: (408) 503-7960
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1720249295
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2008
Last updated in NPPESJune 18, 2008

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