Individual provider Active NPI

Matia Kilgore, APRN, DNP, FNP-C

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1730775958
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R191993 Issued in MD
Practice address
1907 Border Ave
Torrance, CA 90501-3606
Phone
(844) 443-6246
Fax
(833) 907-2235
NPI assigned
Dec 13, 2020
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R191993 MD Primary

Addresses

Primary practice location

1907 Border Ave
Torrance, CA 90501-3606

Mailing address

2 University PLZ
Hackensack, NJ 07601-6202
Phone (551) 295-8223

Other practice location 1

962 Wayne Ave Ste 250
Silver Spring, MD 20910-4433
Phone (551) 295-8223

Other practice location 2

630 S Exeter St
Baltimore, MD 21202-4316
Phone (410) 962-6520

Other practice location 3

39 V St NE
Washington, DC 20002-1329
Phone (551) 295-8223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NY, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211122000917 MD Practitioner - Nurse Practitioner 0547659146 Reassigns benefits to 4 organizations
I20211123000049 DC Practitioner - Nurse Practitioner 0547659146 Reassigns benefits to 4 organizations
I20240815003253 NY Practitioner - Nurse Practitioner 0547659146 Reassigns benefits to 3 organizations
I20241118001639 CA Practitioner - Nurse Practitioner 0547659146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759-2683
Phone (973) 435-9463

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R191993MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV LLC CurrentSince Sep 1, 2024 Accepting new patients
Ennoble HC DMV II LLC CurrentSince Oct 16, 2025 Accepting new patients
Mobile Urgent Care Medical Services PC CurrentSince Oct 1, 2024 Accepting new patients
Mobile Medical Care PC CurrentSince Oct 7, 2024 Accepting new patients
Rahel G. Yirga MD PC CurrentSince Mar 1, 2022 Accepting new patients
Mobile Medical Healthcare, P.C. CurrentSince Oct 1, 2024 Accepting new patients
Carlos a. Smith, M.D, Professional Corporation CurrentSince Oct 1, 2024 Accepting new patients
Ennoble HC DMV III LLC CurrentSince Oct 27, 2025 Accepting new patients

Locations

1907 Border Ave
Torrance, CA 90501
Phone (585) 278-0502

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

1500 K St NW
Ofc 226A
Washington, DC 20005
Phone (862) 812-9010

2418 W Indian Trl
Ste F
Aurora, IL 60506

8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001

962 Wayne Ave
Ste 250
Silver Spring, MD 20910
Phone (240) 744-0001

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

156 1st St
Mineola, NY 11501
Phone (516) 741-4082

35 W 35th St
Fl 4
New York, NY 10001
Phone (844) 553-6246

35 W 35th St
Fl 6
New York, NY 10001
Phone (347) 903-5933

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

Interoperability endpoints

  • Direct secure messaging: matia.kilgore.4@24989.direct.athenahealth.com

Organizations & group practices 9

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

Hospital & facility affiliations 1

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": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1730775958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016202",
            "telephone_number": "551-295-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 BORDER AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013606",
            "telephone_number": "844-443-6246",
            "fax_number": "833-907-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "962 Wayne Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104433",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 S Exeter St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212024316",
            "country_code": "US",
            "telephone_number": "410-962-6520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 V St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200021329",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "MATIA",
        "name_prefix": "Dr.",
        "credential": "APRN, DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R191993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.