Matthew Fava
NPI 1821117284 · Mental Health Clinic/Center (Including Community Mental Health Center) · Lodi, CA
Matthew Fava is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Lodi, CA (NPI 1821117284).
Provider details
- NPI number
- 1821117284
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Fava, Doctor(209) 769-9554
- License
- 47392 (CA)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 47392 (CA)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2012-04-05
Frequently asked questions
- What is Matthew Fava's NPI number?
- Matthew Fava's National Provider Identifier (NPI) is 1821117284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Matthew Fava?
- Matthew Fava is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Matthew Fava located?
- Matthew Fava's practice location on file with NPPES is 404 W Pine St, Lodi, CA 95240-2048.
- What is Matthew Fava's phone number?
- The practice phone number listed in the NPPES registry for Matthew Fava is (209) 769-9554.
- Who is the authorized official for Matthew Fava?
- The authorized official listed on Matthew Fava's NPPES record is Matthew Fava, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Matthew Fava's NPI active?
- Yes — Matthew Fava's NPI (1821117284) is active in the NPPES registry as of the last update on 2012-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.