1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MATILDA CRIEL-EWOLDT
NPI 1912465345
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 05, 2019PECOS Enrolled
1625 SCHRADER BLVD, LOS ANGELES, CA 90028(323) 993-2919 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matilda Criel-ewoldt NPPES

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

MATILDA CRIEL-EWOLDT (NPI 1912465345) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912465345
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMATILDA CRIEL-EWOLDT
Location Address1625 SCHRADER BLVDLos Angeles, CA 90028-6213
Mailing Address1625 Schrader BlvdLos Angeles, CA 90028-6213 · (323) 993-2919
Phone(323) 993-2919
Sole ProprietorYes
Enumeration DateMarch 5, 2019
✔ NPI 1912465345 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.
1625 SCHRADER BLVD, Los Angeles, CA 90028
Open in Google Maps ↗

Other Identifiers 1

Other01536011CA · Medi-cal

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matilda Criel-ewoldt 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.

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.

DR. KEVIN THOMAS MARX PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7467
DEVIKA SHANKAR
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7504
AUDREY MACASIEB
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8910
ANEDRA PRESSLEY RN
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7434
ALAN GAONA
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8971
MR. RISHAD LAWYER LMFT
Marriage & Family Therapist
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7500
ACE SEIDEL
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (213) 466-5021
JULIE MOORE
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 860-5889

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 Matilda Criel-ewoldt's NPI number?

The NPI number for Matilda Criel-ewoldt is 1912465345. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Matilda Criel-ewoldt located?

Matilda Criel-ewoldt practices at 1625 Schrader Blvd, Los Angeles, CA 90028. The listed phone number is (323) 993-2919.

What is Matilda Criel-ewoldt's specialty?

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

Is Matilda Criel-ewoldt enrolled in Medicare?

Yes. Matilda Criel-ewoldt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matilda Criel-ewoldt was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.