Provider Demographics
NPI:1073694378
Name:MATING, NARWHALS (MD)
Entity Type:Individual
Prefix:DR
First Name:NARWHALS
Middle Name:
Last Name:MATING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAYMOND
Other - Middle Name:REX
Other - Last Name:SPISAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 EAST CENTER AVE.
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6331
Mailing Address - Country:US
Mailing Address - Phone:559-737-4700
Mailing Address - Fax:559-737-4782
Practice Address - Street 1:35800 HIGHWAY 190
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:CA
Practice Address - Zip Code:93265-9116
Practice Address - Country:US
Practice Address - Phone:559-539-2324
Practice Address - Fax:559-539-2923
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI43923-020207Q00000X
CAA88441207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H60661Medicare UPIN
CACG352X,CG352WMedicare UPIN