Individual provider Active NPI

Matthew Sidney Olin, PA

  • Physician Assistant
  • Torrance, CA
National Provider Identifier
1124241070
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18578 Issued in CA
Practice address
24520 Hawthorne Blvd Ste 240
Torrance, CA 90505-6849
Phone
(310) 300-6206
Fax
(310) 919-3703
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18578 CA Primary

Addresses

Primary practice location

24520 Hawthorne Blvd Ste 240
Torrance, CA 90505-6849

Mailing address

24520 Hawthorne Blvd Ste 240
Torrance, CA 90505-6849
Phone (310) 300-6206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070815000459 CA Practitioner - Physician Assistant 2961594395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillside DermatologyGroup PAC ID 0446606594, 3 clinicians

Practice addresses (Care Compare)

24520 Hawthorne Blvd
Suite 240
Torrance, CA 90505-6849
Phone (310) 300-6206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18578CAMDPhysician Assistant
18578CAMDAcute Care Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1124241070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD STE 240",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056849",
            "telephone_number": "310-300-6206",
            "fax_number": "310-919-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD STE 240",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056849",
            "telephone_number": "310-300-6206",
            "fax_number": "310-919-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIN",
        "first_name": "MATTHEW",
        "middle_name": "SIDNEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.