Matta Botrous DDS Inc
NPI 1962940874ActiveOrganization· Dentist· Rancho Cucamonga, CA
Dentist in Rancho Cucamonga, California, registered in NPPES in February 2017. The authorized official on file is Matta Joseph Matta Botrous, DDS, President.
Overview
| NPI | 1962940874 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2017 |
| Last updated in NPPES | Feb 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 62073 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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