Medical Board of California

Licensing details for: PTL 13567

Name: Mathis, Michael Edward

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

License has been voluntarily canceled or the license has expired. No practice is permitted.

School Name: Loma Linda University School of Medicine

Graduation Year: 2023

Current Enrolled Postgraduate Training Program

Facility Name: HCA HEALTHCARE RIVERSIDE PROGRAM

City: Riverside

State: California

Speciality: Internal Medicine

Start Date: 07/01/2023

Anticipated End Date: 09/30/2024

Address of Record

4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE county
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Issuance Date

December 12, 2023

Expiration Date

N/A

Current Date / Time

April 3, 2026
2:15:20 AM

Public Record Actions

Administrative Disciplinary Actions (No Records)

DISCLAIMER: The Medical Board's public disclosure screens are updated periodically as new information becomes available.Please contact the Central File Room at (916) 263-2525 or at 2005 Evergreen Street, Suite 1200, Sacramento, CA 95815, to obtain a copy of public documents at a minimal charge.

Court Order (No Records)

DISCLAIMER: This information would be provided if a physician's practice has been temporarily restricted or suspended pursuant to a court order.Please contact the Central File Room at (916) 263-2525 or at 2005 Evergreen Street, Suite 1200, Sacramento, CA 95815, to obtain a copy of the public documents.

Misdemeanor Conviction (No Records)

DISCLAIMER: California Business and Professions Code section 2027(b)(5) states all misdemeanor convictions resulting in a disciplinary action or accusation that is not subsequently withdrawn or dismissed shall be posted on the Internet. Upon receipt of a certified copy of an expungement order granted pursuant to Section 1203.4 of the Penal Code from a licensee, the Medical Board shall, within six months of receipt of the expungement order, post notification of the expungement order and the date thereof on its website.

Probationary License (No Records)

DISCLAIMER: License issued on a probationary basis subject to terms and conditions. Practice is permitted unless otherwise specified or license expires.

Felony Conviction (No Records)

DISCLAIMER: The information provided only includes felony convictions that are known to the Board. All felony convictions known to the Board are reviewed and administrative action is taken only if it is determined that a violation of the Medical Practice Act occurred. For more information regarding felony convictions, contact the court of jurisdiction listed below.

Malpractice Judgment (No Records)

DISCLAIMER: A malpractice judgment is a payment for damages and does not necessarily reflect that the physician's medical competence is below the standard of care.The Medical Board reviews all such reported judgments and action is taken only if it is determined that a violation of the Medical Practice Act occurred.The Medical Board is prohibited by law from releasing a copy of the judgment report or any other information concerning the judgment.For more information contact the court of jurisdiction listed below.

Hospital Disciplinary Action (No Records)

DISCLAIMER: The action taken by this healthcare facility against this physician's staff privileges to provide healthcare services at this facility was for a medical disciplinary cause or reason.The Medical Board is authorized by law to disclose only revocations and terminations of staff privileges.The Medical Board is prohibited from releasing a copy of the actual report or any other information.

LICENSE ISSUED WITH PUBLIC LETTER OF REPRIMAND (No Records)

DISCLAIMER: The Medical Board of California has concurrently issued the licensee a medical license and a Public Letter of Reprimand for a minor violation that does not require probationary status or warrant denial of licensure. The issuance of a Public Letter of Reprimand is not considered disciplinary action but is reported to the National Practitioner Data Bank.

Administrative Citation Issued (No Records)

DISCLAIMER: A citation and/or fine has been issued for a minor violation of the law. This is not considered disciplinary action under California law but is an administrative action. Payment of the fine amount represents satisfactory resolution of this matter.

Administrative Action Taken by Other State or Federal Government (No Records)

DISCLAIMER: This information is provided by another state/federal government agency. The Medical Board of California may take administrative action based on the action imposed by another state/federal government agency. For more information or verification, contact the agency listed below that imposed the action.

Arbitration Award (No Records)

DISCLAIMER: An arbitration award is a payment for damages and does not necessarily reflect that the physician's medical competence is below the standard of care.The Medical Board reviews all such reported arbitration awards and action is taken only if it is determined that a violation of the Medical Practice Act occurred.The Medical Board is prohibited by law from releasing a copy of the arbitration award report or any other information concerning the award.

Malpractice Settlements (No Records)

DISCLAIMER: A settlement entered into by the licensee is a resolution of a claim for damages for death or personal injury caused by the licensee's negligence, error, or omission in practice, or by his or her rendering of unauthorized professional services.The Medical Board is required by law to disclose certain information related to the existence of multiple settlements made on or after January 1, 2003 in an amount of $30, 000 or more.

Public Documents

Documents (No Records)

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: Mathis, Michael Edward

License/Registration Type: Physician's and Surgeon's

License Number: 198873 Primary Status: License Renewed & Current

Address :
1705 Allison Way
REDLANDS CA 92373-7436
SAN BERNARDINO COUNTY

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