| Dr Mathew James Deville, DC, PA-C | |
|
2004 Nelson Ave, Redondo Beach, CA 90278-2309 | |
| (310) 722-4504 | |
| Not Available |
| Full Name | Dr Mathew James Deville |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 2004 Nelson Ave, Redondo Beach, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932291473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA65796 (California) | Primary |
| 111N00000X | Chiropractor | DC29908 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorialcare Long Beach Medical Center | Long beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sports And Spine Orthopaedics | 8224028378 | 14 |
| Philip J Morgan Md Apc | 9830277656 | 6 |
| Entity Name | Philip J Morgan MD APC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932315157 PECOS PAC ID: 9830277656 Enrollment ID: O20080419000058 |
| Entity Name | Sports and Spine Orthopaedics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811936743 PECOS PAC ID: 8224028378 Enrollment ID: O20100728000322 |
| Entity Name | Commons Clinic Medical Group, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831856640 PECOS PAC ID: 6204221096 Enrollment ID: O20220314001286 |
| 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 |
Mrs. Kelly Ann Josephsen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 816 Camino Real Unit 201, Redondo Beach, CA 90277 Phone: 310-740-0589 |
Erica Deangelo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2409 Artesia Blvd, Redondo Beach, CA 90278 Phone: 424-400-7722 Fax: 424-400-7721 |
Ms. Kanti Charugundla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 502 Torrance Blvd, Redondo Beach, CA 90277 Phone: 310-316-0811 |
Sophia Rose Spengler, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 N Pacific Coast Hwy Ste 101, Redondo Beach, CA 90277 Phone: 310-905-6819 Fax: 888-972-1912 |
Mrs. Jessica Lauren Carney, Physician Assistant Medicare: Medicare Enrolled Practice Location: 325 S Francisca Ave, Redondo Beach, CA 90277 Phone: 847-363-7557 |
Sofia Aprile, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 318 Avenue I # 118, Redondo Beach, CA 90277 Phone: 310-701-5122 |
Kelly Tram Tran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 N Prospect Ave Ste 302, Redondo Beach, CA 90277 Phone: 310-798-1515 Fax: 310-798-3131 |