Active NPI
Matthew David Hatch, PA
- Physician Assistant
- Banning, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 600 N Highland Springs Ave
Banning, CA 92220-3046 - Phone
- (909) 362-2493
- NPI assigned
- Jul 20, 2020
- Last updated
- Apr 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
600 N Highland Springs Ave
Banning, CA 92220-3046
Mailing address
34216 Pinehurst Dr
Yucaipa, CA 92399-6941
Phone (909) 362-2493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12370 Hesperia Rd
Victorville, CA 92395-4787
Phone (760) 245-4747
800 W 5TH Ave
Spokane, WA 99204-2803
Phone (509) 473-7101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vvipa Medical Group Inc | Current | Accepting new patients | |
| High Desert Medical Group | Current | Accepting new patients | |
| Premier Emergency Physicians of California Medical Group PC | Physician Assistant | Past | Accepting new patients |
| Rainbow Basin Emergency Physicians, a Medical Corporation | Physician Assistant | Past | Accepting new patients |
Locations
12370 Hesperia Rd
Ste 15
Victorville, CA 92395
Phone (760) 241-7773
12370 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 245-4747
12408 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 553-7000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- matthew.hatch.p2@direct.hvvmg.nextgenshare.com
Organizations & group practices 7
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.
-
dba Heritage Victor Valley Medical Group
- Clinic/Center
- Victorville, CA
- NPI 1295126001
-
- Emergency Medicine Physician
- Spokane, WA
- NPI 1912564055
-
dba Seva Medical Group
- Emergency Medicine Physician
- Banning, CA
- NPI 1932964962
-
dba Seva Medical Group
- Emergency Medicine Physician
- Barstow, CA
- NPI 1336971514
-
- Multi-Specialty Clinic/Center
- Lancaster, CA
- NPI 1720196702
-
- Emergency Medicine Physician
- Barstow, CA
- NPI 1225289135
Physician Assistant
-
- Emergency Medicine Physician
- Barstow, CA
- NPI 1811148729
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Banning, CA
- NPI 1568469997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1932717592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34216 PINEHURST DR",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923996941",
"telephone_number": "909-362-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N HIGHLAND SPRINGS AVE",
"city": "BANNING",
"state": "CA",
"postal_code": "922203046",
"telephone_number": "909-362-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-20",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.