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MICHAEL EDWARD MATHIS MD
NPI 1053013870
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 17, 2023
4510 BROCKTON AVE, RIVERSIDE, CA 92501(951) 897-9896 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Edward Mathis Md NPPES

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

MICHAEL EDWARD MATHIS MD (NPI 1053013870) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1053013870
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL EDWARD MATHISCredential: MD
Location Address4510 BROCKTON AVERiverside, CA 92501-4015
Mailing Address4510 Brockton AveRiverside, CA 92501-4015 · (951) 897-9896
Phone(951) 897-9896
Sole ProprietorNo
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1053013870 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.
4510 BROCKTON AVE, Riverside, CA 92501
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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.

KEVIN PHAM DO
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 897-9896
RACHEL ELSANADI
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 966-8398
JORGE TORRES MD
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 897-9896
VIVIAN LIANG
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 990-7955
JUSTIN YOON CHOI MD
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 966-8398
DR. HUNTER PAYNE GOLDSMITH MD
General Practice
4510 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 897-9896
COURTNEY TAYLOR SMITH DO
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 897-9896
BRITTANY RUTH SADOMA MD
Student in an Organized Health Care Education/Training Program
4510 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 990-7955

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 Michael Mathis's NPI number?

The NPI number for Michael Mathis is 1053013870. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Michael Mathis located?

Michael Mathis practices at 4510 Brockton Ave, Riverside, CA 92501. The listed phone number is (951) 897-9896.

What is Michael Mathis'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 Michael Mathis was last updated on March 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.