Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW CIVILETTE
ActiveMATTHEW CIVILETTE is a General Practice healthcare provider located in CORONADO, California. NPI 1053069724 is currently active in the NPPES registry. Verify at CMS.
General Practice · CORONADO, CA
Registration Details
- NPI Number
- 1053069724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2022 (4.4572926631612 yrs)
- Last Updated
- Mar 14, 2024
- License
-
0101279134 (VA)
Practice Information
- Address
-
601 MCCAIN BLVD.CORONADO, CA, 92118Browse CA providers · Browse ZIP 92118
- Phone
- 7167858351
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in CORONADO, CA
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE YE | — | 1902499395 |
| DR. BLAKE BASSETT | DO | 1225617657 |
| BAILEY GRIMSLEY | MD | 1043960289 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.