Individual provider Active NPI

Cynthia M Mathis, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Beverly Hills, CA
National Provider Identifier
1891805826
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G79441 Issued in CA
Practice address
239 S la Cienega Blvd
Suite 200
Beverly Hills, CA 90211-3328
Phone
(310) 659-9566
Fax
(310) 329-0176
NPI assigned
Aug 31, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G79441 CA Primary

Addresses

Primary practice location

239 S la Cienega Blvd
Suite 200
Beverly Hills, CA 90211-3328

Mailing address

PO Box 5333
Torrance, CA 90510-5333
Phone (310) 329-2469

Other identifiers 2

IdentifierTypeStateIssuer
00G794410MedicaidCA
246014400OtherCAOWCP-FEDERAL EMPLOYEES CO

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
I20120727000166 CA Practitioner - Physical Medicine and Rehabilitation 7416113964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8930 S Sepulveda Blvd
Suite 200
Los Angeles, CA 90045-3624
Phone (310) 641-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79441CAMDPharmacist
G79441CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Mathis MD a Professional Corporation CurrentSince Jul 26, 2012 Accepting new patients
Charles L. Herring, MD, Apc Past Accepting new patients

Locations

8930 S Sepulveda Blvd
Ste 200
Los Angeles, CA 90045
Phone (310) 641-8111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1891805826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5333",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905105333",
            "telephone_number": "310-329-2469",
            "fax_number": "310-329-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S LA CIENEGA BLVD",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113328",
            "telephone_number": "310-659-9566",
            "fax_number": "310-329-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G79441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G794410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP-FEDERAL EMPLOYEES CO",
            "identifier": "246014400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.