Ricardo Antonio Pena Mata, OTR/L is a medicare enrolled "Occupational Therapist" provider in Commerce, California. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. He is a member of the group practice Kimberly J Evans Otr L Cht Professional Corporation and his current practice location is
7108 Kuhl Dr, Commerce, California. You can reach out to his office (for appointments etc.) via phone at
(323) 997-0137.
Ricardo Antonio Pena Mata is licensed to practice in California (license number 23376) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760139257.
Healthcare Provider's Profile
| Full Name | Ricardo Antonio Pena Mata |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist In Private Practice |
|---|
| Experience | 4 Years |
|---|
| Location | 7108 Kuhl Dr, Commerce, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ricardo Antonio Pena Mata graduated from medical school in 2021
NPI Data:
- NPI Number: 1760139257
- Provider Enumeration Date: 03/04/2022
- Last Update Date: 03/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678081445
- Enrollment ID: I20250804000244
Medical Identifiers
Medical identifiers for Ricardo Antonio Pena Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760139257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 23376 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Kimberly J Evans Otr L Cht Professional Corporation | 4183993066 | 2 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ricardo Antonio Pena Mata is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ricardo Antonio Pena Mata, OTR/L 7108 Kuhl Dr, Commerce, CA 90040-3825 Ph: () - | Ricardo Antonio Pena Mata, OTR/L 7108 Kuhl Dr, Commerce, CA 90040-3825 Ph: (323) 997-0137 |
Reviews and Comments