Amatallc
Amatallc is a healthcare organization registered as Methadone Clinic in Corona, CA, holding Type 2 (organization) NPI 1164143020 since 2022. The authorized official on file is Mason Terry, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164143020 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Amatallc |
| Practice address | 222 W 6TH ST, Corona, CA, 92882 |
| Phone | 9093799237 |
| Fax | 8885077087 |
| Enumeration date | 2022-09-08 |
| Last updated in NPPES | 2022-09-20 |
Authorized official
| Name | Mason Terry |
|---|---|
| Title | Office Manager |
| Phone | 9093799237 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Secondary | — | — |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | Secondary | — | — |
| 261QM2800X | Methadone Clinic | Primary | — | — |
Copy-ready billing details
Provider: Amatallc NPI: 1164143020 Taxonomy: 261QM2800X (Methadone Clinic) Address: 222 W 6TH ST, Corona, CA, 92882
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144742420 | Jiseung Yoon | Individual | Addiction Medicine (Preventive Medicine) Physician | Corona, CA |
| 1710492814 | Joanna Corona | Individual | Medical Physician Assistant | Corona, CA |
| 1104384635 | Channing Lackey | Individual | Addiction (Substance Use Disorder) Counselor | Corona, CA |
| 1649871492 | Stephanie Zatarain | Individual | Physician Assistant | Corona, CA |
| 1679338529 | Jiseung Yoon, MD | Organization | Medical Specialty Clinic/Center | Corona, CA |
| 1023838554 | Natalie Olaiz | Individual | Licensed Vocational Nurse | Corona, CA |
| 1447074620 | Carolina Gomez | Individual | Licensed Vocational Nurse | Corona, CA |
| 1396550828 | Daniel Leanos | Individual | Counselor | Corona, CA |
Verify this record
Cross-check NPI 1164143020 against the authoritative CMS record: view Amatallc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Amatallc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-09-20.