Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053069724 Individual Practitioner Male Practitioner

Matthew Civilette

General Practice • Coronado, CA

Professional Overview & Biography Verified Profile Summary

Matthew Civilette is a registered healthcare professional specializing in General Practice in Coronado, CA. Practice services are available at 601 MCCAIN BLVD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

601 Mccain Blvd.

Coronado, CA 92118

Telephone 7167858351

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Coronado, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Coronado, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-13
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101279134

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 14, 2024

Registered at 601 MCCAIN BLVD., CORONADO, CA 92118 (Tel: 7167858351)

📍
Updated Business Mailing Address March 14, 2024

Registered at 601 MCCAIN BLVD, CORONADO, CA 92118

NPI Profile Active March 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2022

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890004 (Tel: 3102954810)

📍
Updated Business Mailing Address March 12, 2022

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890004

👤
Provider Name / Credentials Updated March 12, 2022

Recorded as MATTHEW CIVILETTE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053069724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2022
Last Update: March 14, 2024
Sole Proprietor: No

Mailing Address

601 Mccain Blvd

Coronado, CA 92118

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.