Individual provider Active NPI

Matthew Valentine

  • Physician Assistant
  • Palm Springs, CA
National Provider Identifier
1154004083
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1180 N Indian Canyon Dr Ste W201
Palm Springs, CA 92262-4876
Phone
(760) 416-4575
NPI assigned
Aug 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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 Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr Ste W201
Palm Springs, CA 92262-4876

Mailing address

6675 Corporate Center Pkwy Ste 115
Jacksonville, FL 32216-8088

Other practice location 1

6675 Corporate Center Pkwy Ste 115
Jacksonville, FL 32216-8088
Phone (904) 245-8910

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
I20240123001942 CA Practitioner - Physician Assistant 4082066378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

1140 N Indian Canyon Dr
Suite 100
Palm Springs, CA 92262-4872
Phone (760) 323-6881

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

1180 N Indian Canyon Dr
Palm Springs, CA 92262-4876

1541 Florida Ave
Modesto, CA 95350-4429
Phone (209) 577-3388

1541 Florida Ave
Modesto, CA 95350-4438

35800 Bob Hope Dr
Suite 225
Rancho Mirage, CA 92270-1740
Phone (760) 668-0386

47647 Caleo Bay Dr
Suite 210
La Quinta, CA 92253-8858
Phone (760) 673-7010

58457 29 Palms Hwy
Suite 200
Yucca Valley, CA 92284-5879
Phone (760) 228-1813

6601 White Feather Rd
Joshua Tree, CA 92252-6607
Phone (760) 366-3711

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners CurrentSince Jan 9, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Jan 9, 2024 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

47647 Caleo Bay Dr
Ste 210
La Quinta, CA 92253
Phone (760) 760-5649

47647 Caleo Bay Dr
La Quinta, CA 92253
Phone (760) 323-6571

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

1180 N Indian Canyon Dr
Ste W110
Palm Springs, CA 92262
Phone (760) 416-4600

1180 N Indian Canyon Dr
Ste W201
Palm Springs, CA 92262
Phone (760) 416-4575

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

58471 29 Palms Hwy
Ste 200
Yucca Valley, CA 92284

58457 29 Palms Hwy
Ste 200
Yucca Valley, CA 92284
Phone (760) 228-1813

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: matthew.valentine.1@14035.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1154004083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 CORPORATE CENTER PKWY STE 115",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE W201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624876",
            "telephone_number": "760-416-4575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6675 Corporate Center Pkwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168088",
            "country_code": "US",
            "telephone_number": "904-245-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.