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MATTHEW MICKLE
NPI 1043063530
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since April 08, 2024
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(833) 574-2273 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Apr 8, 2024 (2 updates tracked since 2024).

About Matthew Mickle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW MICKLE (NPI 1043063530) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1043063530
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW MICKLE
Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043
Mailing Address10800 Magnolia AveRiverside, CA 92505-3043 · (833) 574-2273
Phone(833) 574-2273
Sole ProprietorNo
Enumeration DateApril 8, 2024
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1043063530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10800 MAGNOLIA AVE, Riverside, CA 92505
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAISER PERMANENTE
General Acute Care Hospital
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (951) 353-4988
PATRICK T MC GILL PA
Physician Assistant
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
ROBERT L. RUDEK MD
Surgery
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
RICHARD M. BRADBURNE MD
Internal Medicine (Critical Care Medicine)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
SUNG JIN JOHN MD
Family Medicine
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
SHELLY C. THIO MD
Internal Medicine
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
GREGORY MARRUJO MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
REBECCA J SEAWELL NP
Nurse Practitioner
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Mickle's NPI number?

The NPI number for Matthew Mickle is 1043063530. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Matthew Mickle located?

Matthew Mickle practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (833) 574-2273.

What is Matthew Mickle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Matthew Mickle was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.