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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GLENN P. MATNEY, M.D., INC.
NPI 1629538194
Pediatrics in Victorville, CA

Active since March 21, 2019
12402 INDUSTRIAL BLVD STE B1, VICTORVILLE, CA 92395(760) 245-9363(760) 245-5158 Get Directions Write a Review

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

Record update history: Jul 21, 2026, Aug 10, 2019, Mar 21, 2019 (3 updates tracked since 2019).

About Glenn P. Matney, M.d., Inc. NPPES

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

GLENN P. MATNEY, M.D., INC. (NPI 1629538194) is a healthcare organization registered as a pediatrics in Victorville, California and active in the NPI registry since March 2019. The organization lists Glenn Paul Matney, President, as its authorized official.

NPPES Registry Identity

NPI1629538194
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGLENN P. MATNEY, M.D., INC.
Location Address12402 INDUSTRIAL BLVD STE B1Victorville, CA 92395-5889
Mailing Address12402 Industrial Blvd Ste B1Victorville, CA 92395-5889 · (760) 245-9363 · Fax (760) 245-5158
Phone(760) 245-9363
Fax(760) 245-5158
Organization SubpartNo
Authorized OfficialGlenn Paul MatneyPresident · (760) 245-9363
Enumeration DateMarch 21, 2019
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1629538194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12402 INDUSTRIAL BLVD STE B1, Victorville, CA 92395
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0890943

Glenn P Matney MD · Victorville, CA
Expired · Aug 1, 2026
CLIA Number05D0890943
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorGlenn P. Matney
Laboratory Phone(760) 245-9363
Laboratory LocationGlenn P Matney MD12402 Industrial Blvd Ste B-1, Victorville, CA 92392
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. GLENN PAUL MATNEY M.D.
Pediatrics
12402 INDUSTRIAL BLVD STE B1
VICTORVILLE, CA 92395
San Bernardino County (760) 245-9363

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 Glenn P. Matney, M.D., Inc.'s NPI number?

The NPI number for Glenn P. Matney, M.D., Inc. is 1629538194. It was assigned to this organization in the NPPES registry on March 21, 2019.

Where is Glenn P. Matney, M.D., Inc. located?

Glenn P. Matney, M.D., Inc. is located at 12402 Industrial Blvd Ste B1, Victorville, CA 92395. The listed phone number is (760) 245-9363.

What is Glenn P. Matney, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Glenn P. Matney, M.D., Inc. was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.