Individual
DR. BENJAMIN KEITH MATTOX
Active
Individual
DR. BENJAMIN KEITH MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, DRPH
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005055
VA
363A00000X
Physician Assistant
61454
CA
363AS0400X
Surgical Physician Assistant
Primary
61454
CA
Other
Enumeration date
10/16/2012
Last updated
08/14/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up