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

Mathew Mazo Reynolds

Individual provider Physician Assistant · NPI 1578171260

Mathew Mazo Reynolds is a Physician Assistant in Lakeside, California. Graduated from Wake Forest University School of Medicine in 2020, 6 years ago. Practices with Neighborhood Healthcare, a 152-clinician group and accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
6
Trained at
Wake Forest University School of Medicine
Licensed in
CA, NC
In the registry since
2020
Specialties on file
2

Practice location Address checks out

10039 Vine St
Lakeside, CA 92040-3120
Phone: (833) 867-4642
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61945 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-10323 (NC)

Record details

NPI number1578171260
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2020
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Neighborhood Healthcare — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lakeside