SHENDRA MATHIS NPI 1184588147

NPI Information

  • NPI: 1184588147
  • Provider Name: SHENDRA MATHIS
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Individual
  • Address: 897 KINCAID AVE
    INGLEWOOD, CA
    ZIP 90302
  • Phone: (323) 384-2212

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NPI Details

Shendra Mathis is a prosthetic orthotic supplier in Inglewood, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Shendra Mathis NPI is 1184588147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

897 KINCAID AVE
INGLEWOOD, CA
ZIP 90302-005
Phone: (323) 384-2212

The enumeration date for this NPI number is 12/15/2025 and was last updated on 12/15/2025.

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
1335E00000XProsthetic/Orthotic SupplierYes

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: 11/21/2025

NPI Synchronization or Removal

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