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

Mark Elliott Matusak, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1942706056

Mark Elliott Matusak, DO is a Family Practice in Torrance, California. Graduated from University of New England, College of Osteo Medicine in 2018, 8 years ago. Practices with Providence Medical Institute, a 336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Trained at
University of New England, College of Osteo Medicine
Licensed in
CA
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

21311 Madrona Ave Ste 100A
Torrance, CA 90503-5970
Phone: (310) 792-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 20A18824 (CA)

Record details

NPI number1942706056
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address21311 Madrona Ave Ste 100a, Torrance, CA 90503-5970

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesORTHOPEDIC SURGERY, SPORTS MEDICINE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2018 (8 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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