Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATHEW MAZO REYNOLDS
ActiveMATHEW MAZO REYNOLDS is a Physician Assistant healthcare provider located in LAKESIDE, California. NPI 1578171260 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKESIDE, CA
Registration Details
- NPI Number
- 1578171260
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2020 (6.0609410694372 yrs)
- Last Updated
- Jan 28, 2025
- Licenses
-
0010-10323 (NC)61945 (CA)
Practice Information
- Address
-
10039 VINE STLAKESIDE, CA, 920403120Browse CA providers · Browse ZIP 92040
- Phone
- 8338674642
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LAKESIDE, CA
| Name | Credential | NPI |
|---|---|---|
| JACOB THOMAS BOLZ | PA-C | 1386025682 |
| ZACH GLASCOX | — | 1891203105 |
| CHRISTIAN MICHAEL KONDAN | PA-C | 1255073748 |
| HOLLY MANSOUR | — | 1760351415 |
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.