Ethan Mathews, MD
Family Medicine in Sacramento, CA. Individual provider (NPI-1).
NPI number1215313853
StatusActive
Last updated in NPPESDec 5, 2024
Details
- NPI
- 1215313853
- Entity type
- Individual (NPI-1)
- Name
- Ethan Mathews
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2015
- Certification date
- Dec 5, 2024
- Last updated
- Dec 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 137682 | CA | Yes |
Practice location
2951 Benefit Way Ste 103Sacramento, CA 95834-1272
Phone 916-285-8100 · Fax 916-285-8115
Mailing address
Po Box 255228Sacramento, CA 95865-5228
Is something wrong?
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