Individual
GUADALUPE ISABEL MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357
(909) 825-7084
(909) 777-3210
Mailing address
1585 NEIL AVE, COLUMBUS, OH 43210-1216
(909) 825-7084
(909) 777-3210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95151694
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239
1239
—
Enumeration date
12/07/2021
Last updated
03/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us