Individual provider Active NPI

Marlon Stephen Mathews, MD

  • Sports Medicine (Family Medicine) Physician
  • Palm Springs, CA
National Provider Identifier
1639332422
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A113109 Issued in CA
Practice address
275 N El Cielo Rd # D-402
Palm Springs, CA 92262-6972
Phone
(714) 273-8285
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X A113109 CA Primary

Addresses

Primary practice location

275 N El Cielo Rd # D-402
Palm Springs, CA 92262-6972

Mailing address

275 N El Cielo Rd # D-402
Palm Springs, CA 92262-6972
Phone (714) 273-8285

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021000529 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Neurosurgery 8224316591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Neurosurgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113109CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Jun 15, 2022 Accepting new patients
Desert Medical Group, Inc. CurrentSince Mar 10, 2019 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Jun 15, 2022 Accepting new patients

Locations

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

81880 Doctor Carreon Blvd
Ste C108
Indio, CA 92201
Phone (760) 775-9641

72605 Highway 111
Palm Desert, CA 92260
Phone (760) 404-0135

275 N El Cielo Rd
#D402
Palm Springs, CA 92262
Phone (714) 273-8285

275 N El Cielo Rd
Ste D402
Palm Springs, CA 92262
Phone (310) 650-6729

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

57840 29 Palms Hwy
Ste A
Yucca Valley, CA 92284
Phone (760) 323-8657

Interoperability endpoints

  • Direct secure messaging: marlon.mathews.p5@direct.mydohc.nextgenshare.com
  • Direct secure messaging: marlon.mathews.p2@direct.mydohc.nextgenshare.com

Organizations & group practices 3

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1639332422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD # D-402",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "714-273-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD # D-402",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "714-273-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "MARLON",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A113109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.