IndividualActive
Mariam Matta
NPI 1194209114 · Pharmacist · Antioch, CA
Mariam Matta is a Pharmacist provider in Antioch, CA (NPI 1194209114).
Provider details
- NPI number
- 1194209114
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RPH78597 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3416 Deer Valley Rd
Antioch, CA 94531-6650
Phone: (925) 978-8000
Street-level locationGet directions
Mailing address
200 Wilmot Rd
Deerfield, IL 60015-4620
Registry dates
- Enumerated
- 2018-09-17
- Last updated
- 2018-09-17
Frequently asked questions
- What is Mariam Matta's NPI number?
- Mariam Matta's National Provider Identifier (NPI) is 1194209114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mariam Matta's specialty?
- Mariam Matta is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Mariam Matta located?
- Mariam Matta's practice location on file with NPPES is 3416 Deer Valley Rd, Antioch, CA 94531-6650.
- What is Mariam Matta's phone number?
- The practice phone number listed in the NPPES registry for Mariam Matta is (925) 978-8000.
- Is Mariam Matta's NPI active?
- Yes — Mariam Matta's NPI (1194209114) is active in the NPPES registry as of the last update on 2018-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.