Dr Mathew James Deville, DC, PA-C is a
Physician Assistant based in Redondo Beach, California. Dr Mathew James Deville is licensed to practice in California (license number PA65796) and his current practice location is
2004 Nelson Ave, Redondo Beach, California. He can be reached at his office (for appointments etc.) via phone at
(310) 722-4504.
NPI number for Dr Mathew James Deville is 1932291473 and his current mailing address is 2004 Nelson Ave, Redondo Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932291473.
Healthcare Provider's Profile
Full Name | Dr Mathew James Deville |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 2004 Nelson Ave, Redondo Beach, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932291473
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 02/04/2025
Medical Identifiers
Medical identifiers for Dr Mathew James Deville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932291473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | DC29908 (California) | Secondary |
363A00000X | Physician Assistant | PA65796 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mathew James Deville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mathew James Deville, DC, PA-C 2004 Nelson Ave, Redondo Beach, CA 90278-2309 Ph: (310) 722-4504 | Dr Mathew James Deville, DC, PA-C 2004 Nelson Ave, Redondo Beach, CA 90278-2309 Ph: (310) 722-4504 |
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