MATT KYLE BERMUDEZ
NPI 1104631100
Physician Assistant - Medical in Santa Monica, CA
NPI Status: Active since February 08, 2025
Contact Information
909 PICO BLVD
SANTA MONICA, CA
ZIP 90405
Phone: (310) 314-6200
- Individual
- Male
- Physician Assistant
- Medical
About MATT KYLE BERMUDEZ
This page provides the complete NPI Profile along with additional information for Matt Kyle Bermudez, a primary care provider established in Santa Monica, California with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1104631100 assigned on February 2025. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1104631100
- Provider Name
- MATT KYLE BERMUDEZ
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 909 PICO BLVD SANTA MONICA, CA 90405
- Location Phone
- (310) 314-6200
- Mailing Address
- 1075 FOX CT COLTON, CA 92324
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-08-2025
- Last Update Date
- 02-08-2025
- Code Navigator
A primary care provider (PCP) like Matt Kyle Bermudez sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 6 | 3 | 1 | 1 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 12 | 3 | 2 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 2 + 3 + 2 + 1 + 0 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1104631100 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285910232 | MS. LEAH DYSON Individual | Case Manager/Care Coordinator | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1043596612 | DEBRA LEE POORMAN Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 614-6200 |
| 1407283880 | SHERRIE MARIE MIRANDA CAS Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1639299407 | DR. KATHERYN LEANNE WHITTAKER PSYD, LMFT, LPCC Individual | Marriage & Family Therapist | 909 PICO BLVD SANTA MONICA, CA 90405 (714) 931-9331 |
| 1629512462 | JOSH PANNELL Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1619411469 | ANDERSON BROUSSARD III Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1669916466 | THOMAS NABORS Individual | Marriage & Family Therapist | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1861936619 | LAVAR HEARNS I Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1336683010 | WILSON S BERRY Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1730624206 | JENNIFER MAGGART RN, RADT-II Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1437694429 | MICHAEL ROBINSON Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1265958763 | ERIKA HERNANDEZ Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1730607565 | LESLIE ELENA WENZELL Individual | Counselor (Mental Health) | 909 PICO BLVD SANTA MONICA, CA 90405 (415) 813-8967 |
| 1750800314 | MR. DARWIN REGINALD BUTLER SR. CATC II Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1497264725 | WILLIAM JONES Individual | Counselor (Addiction (Substance Use Disorder)) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1396250262 | LILY KUIPERS Individual | Counselor | 909 PICO BLVD SANTA MONICA, CA 90405 (866) 452-5273 |
| 1467968446 | JILL LEVENBERG Individual | Marriage & Family Therapist | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1528566619 | GLADYS MARGARITA MORENO Individual | Contractor | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1669973780 | ROBIN CAROL RAYNNE ZURN Individual | Counselor (Mental Health) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
| 1245732858 | ATHERINE DANICE SHACKELFORD LVN,RN Individual | Registered Nurse (Medical-Surgical) | 909 PICO BLVD SANTA MONICA, CA 90405 (310) 314-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104631100, enumerated in the NPI registry as an "individual" on February 08, 2025
The provider is located at 909 Pico Blvd Santa Monica, Ca 90405 and the phone number is (310) 314-6200
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
This NPI record was last updated on February 08, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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