Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Civilette

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053069724

Matthew Civilette is a Student in an Organized Health Care Education/Training Program in Coronado, California. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Coronado, CA

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101279134 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053069724
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 12, 2022
Last updated in NPPESMarch 14, 2024
Certification dateMarch 13, 2024

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