Mathew James Deville, D.C., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA65796 Issued in CA

Practice address

2004 Nelson Ave
Redondo Beach, CA 90278-2309

Phone

(310) 722-4504

NPI assigned

Sep 29, 2006

Last updated

Aug 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sports and Spine OrthopaedicsGroup PAC ID 8224028378, 14 clinicians

Philip J Morgan MD ApcGroup PAC ID 9830277656, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sports and Spine Orthopaedics

  • Orthopaedic Surgery Physician
  • Torrance, CA
  • NPI 1811936743
  Medicare reassignment Care Compare group NPD
• Philip J. Morgan, M.D., Apc

  • Interventional Pain Medicine Physician
  • Encino, CA
  • NPI 1932315157
  Medicare reassignment Care Compare group
• Commons Clinic Medical Group, PC

  • Multi-Specialty Clinic/Center
  • Marina del Rey, CA
  • NPI 1831856640
  Medicare reassignment

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

• Long Beach Memorial Medical

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1962442012
  Care Compare affiliation

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1932291473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 NELSON AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782309",
            "telephone_number": "310-722-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 NELSON AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782309",
            "telephone_number": "310-722-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23456 Hawthorne Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054716",
            "country_code": "US",
            "telephone_number": "310-375-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVILLE",
        "first_name": "MATHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C., PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65796",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga L Delgado
• Julie Delilly, M.D
• Aline Derkalostian
• Desai Chiropractic Professional Corporation
• Roshani Desai, D.C.
• Josephina Olarita Dhungana, MFC
• Cheryl K.W. Diamond, M.D.
• Mark H Diamond, MD
• Rodolfo Diaz
• Vlessyn Diaz, DPT

• Physician Assistant in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.