Individual provider · Type 1 NPI

Kevan Lewis Mathis, PA-C

Medical Physician Assistant · Marysville, CA

NPI number 1982459368 Active

Practice location

726 4th St
Marysville, CA 95901-5656

Call (530) 749-4300 Map

Mailing address

525 Peerless Way Apt 1
Tracy, CA 95376-5129

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA67735 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1982459368

Kevan Lewis Mathis, PA-C's National Provider Identifier is 1982459368, issued on Apr 19, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Marysville, CA. The record was last updated on Mar 23, 2026.