Individual provider Active NPI

Matthew Eli, D.O.

  • Family Medicine Physician
  • Tarzana, CA
National Provider Identifier
1639829013
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21938 Issued in CA
Practice address
18372 Clark St Ste 208
Tarzana, CA 91356-3552
Phone
(818) 632-8876
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21938 CA Primary

Addresses

Primary practice location

18372 Clark St Ste 208
Tarzana, CA 91356-3552

Mailing address

269 S Beverly Dr # 904
Beverly Hills, CA 90212-3851
Phone (818) 632-8876

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
I20260112002342 CA Practitioner - Family Practice 4789160599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

221 S Almont Dr
Beverly Hills, CA 90211-2506

269 S Beverly Dr
Beverly Hills, CA 90212-3851

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21938CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Myplace Care Partners, P.C. CurrentSince Sep 28, 2025 Accepting new patients
Eli Medical Group Inc Family Medicine CurrentSince Oct 24, 2025 Accepting new patients

Locations

269 S Beverly Dr
Beverly Hills, CA 90212
Phone (424) 254-9622

18372 Clark St
Ste 208
Tarzana, CA 91356
Phone (818) 345-3929

8797 Beverly Blvd
Ste 315
West Hollywood, CA 90048
Phone (310) 659-0123

Interoperability endpoints

  • Direct secure messaging: matthew.eli.2@32907.direct.athenahealth.com

Organizations & group practices 2

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1639829013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S BEVERLY DR # 904",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123851",
            "telephone_number": "818-632-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18372 CLARK ST STE 208",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563552",
            "telephone_number": "818-632-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELI",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "21938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.