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MATT KYLE BERMUDEZ
NPI 1104631100
Physician Assistant - Medical in Santa Monica, CA

Active since February 08, 2025
909 PICO BLVD, SANTA MONICA, CA 90405(310) 314-6200 Get Directions Write a Review

NPPES record last updated: February 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matt Kyle Bermudez NPPES

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

MATT KYLE BERMUDEZ (NPI 1104631100) is an individual medical provider in Santa Monica, California and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1104631100
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMATT KYLE BERMUDEZ
Location Address909 PICO BLVDSanta Monica, CA 90405-1326
Mailing Address1075 Fox CtColton, CA 92324-4587
Phone(310) 314-6200
Sole ProprietorYes
Enumeration DateFebruary 8, 2025
NPPES CertifiedFebruary 8, 2025
✔ NPI 1104631100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
909 PICO BLVD, Santa Monica, CA 90405
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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.

MR. FARES SALIB
Student in an Organized Health Care Education/Training Program
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (949) 344-0543
VANESSA BELTRAMINO EVANS ME.D., LPCA, CADC II
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
DEBRA LEE POORMAN
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 614-6200
DARLENE GUTIERREZ
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
DIVINA LIZA BAHAM
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
CLARE MATRIX
Substance Abuse Rehabilitation Facility
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
EBONY SHERRIKA HILL
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
CHRISTINA BLUM
Marriage & Family Therapist
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (866) 452-5273

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 Matt Kyle Bermudez's NPI number?

The NPI number for Matt Kyle Bermudez is 1104631100. It was assigned to this individual provider in the NPPES registry on February 8, 2025.

Where is Matt Kyle Bermudez located?

Matt Kyle Bermudez practices at 909 Pico Blvd, Santa Monica, CA 90405. The listed phone number is (310) 314-6200.

What is Matt Kyle Bermudez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Matt Kyle Bermudez was last updated on February 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.