OrganizationActive
Carlos Mata P.A.
NPI 1265778971 · Plastic Surgery Physician · Crestview, FL
Carlos Mata P.A. is a Plastic Surgery Physician organization in Crestview, FL (NPI 1265778971).
Provider details
- NPI number
- 1265778971
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlos Mata, Medical Director(850) 920-3223
- License
- ME111574 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
424 W Hwy 90
Crestview, FL 32536-2638
Phone: (850) 689-2260
Approximate (ZIP-level) locationGet directions
Mailing address
205 Tooke St
Fort Walton Beach, FL 32547-2681
Registry dates
- Enumerated
- 2012-12-27
- Last updated
- 2012-12-27
Frequently asked questions
- What is Carlos Mata P.A.'s NPI number?
- Carlos Mata P.A.'s National Provider Identifier (NPI) is 1265778971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carlos Mata P.A.?
- Carlos Mata P.A. is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Mata P.A. located?
- Carlos Mata P.A.'s practice location on file with NPPES is 424 W Hwy 90, Crestview, FL 32536-2638.
- What is Carlos Mata P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Carlos Mata P.A. is (850) 689-2260.
- Who is the authorized official for Carlos Mata P.A.?
- The authorized official listed on Carlos Mata P.A.'s NPPES record is Carlos Mata, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carlos Mata P.A.'s NPI active?
- Yes — Carlos Mata P.A.'s NPI (1265778971) is active in the NPPES registry as of the last update on 2012-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.