MR. MATTHEW SHAWN DEVRIES P.A.-C NPI 1487677092

NPI Information

NPI: 1487677092
Provider Name: MR. MATTHEW SHAWN DEVRIES, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3350 LA JOLLA VILLAGE DR
SCI UNIT
SAN DIEGO, CA
ZIP 92161
Phone: (858) 642-3120
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MR. Matthew Shawn Devries, P.A.-C is a medical physician assistant in San Diego, CA. MR. Matthew Shawn Devries, P.A.-C NPI is 1487677092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3350 LA JOLLA VILLAGE DR
SCI UNIT
SAN DIEGO, CA
ZIP 92161-002
Phone: (858) 642-3120
Fax: (858) 552-4315

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA 15775	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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