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DR. MATTHEW DEARDORFF MD, PHD
NPI 1164541181
Medical Genetics - Clinical Genetics (M.D.) in Los Angeles, CA

Active since March 29, 2007PECOS Enrolled
4650 W SUNSET BLVD # MS 43, LOS ANGELES, CA 90027(877) 543-9522 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew Deardorff Md, Phd NPPES

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

DR. MATTHEW DEARDORFF MD, PHD (NPI 1164541181) is an individual clinical genetics (m.d.) provider in Los Angeles, California, licensed in California (C168510) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164541181
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameDR. MATTHEW DEARDORFFCredential: MD, PHD
Location Address4650 W SUNSET BLVD # MS 43Los Angeles, CA 90027-6062
Mailing Address4650 W Sunset Blvd # Ms 43Los Angeles, CA 90027-6062
Phone(877) 543-9522
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1164541181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Licenses✔ Licensed in CA · C168510✔ Licensed in PA · MD421927
Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Also ListedPediatricsTaxonomy 208000000X · License MD421927 (PA)
4650 W SUNSET BLVD # MS 43, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Deardorff Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Deardorff's NPI number?

The NPI number for Matthew Deardorff is 1164541181. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Matthew Deardorff located?

Matthew Deardorff practices at 4650 W Sunset Blvd # Ms 43, Los Angeles, CA 90027. The listed phone number is (877) 543-9522.

What is Matthew Deardorff's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Matthew Deardorff enrolled in Medicare?

Yes. Matthew Deardorff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Deardorff was last updated on April 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.