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AZAD MATARI MD
NPI 1154929289
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since October 12, 2020PECOS EnrolledAccepts Medicare Assignment
11515 EL CAMINO REAL STE 100, SAN DIEGO, CA 92130(858) 279-1223 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2024, Jan 3, 2024, Oct 12, 2020 (3 updates tracked since 2020).

About Azad Matari Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZAD MATARI MD (NPI 1154929289) is an individual psychiatry provider in San Diego, California, licensed in California (A195018) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Binghamton, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1154929289
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameAZAD MATARICredential: MD
Location Address11515 EL CAMINO REAL STE 100San Diego, CA 92130-3034
Mailing Address11515 El Camino Real Ste 100San Diego, CA 92130-3034
Phone(858) 279-1223
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 12, 2020
Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1154929289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A195018
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT222086 (PA)
11515 EL CAMINO REAL STE 100, San Diego, CA 92130
Open in Google Maps ↗

Secondary Practice Location 1

Location 110-42 Mitchell AveBinghamton, NY 13903-1617 · Phone (404) 910-9899

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Azad Matari Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890103899
PECOS Enrollment IDI20241125001704
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Azad Matari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
311 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA AYN TANGE LCSW
Social Worker (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
SDFC IVF AND ANDROLOGY LABORATORY
Clinical Medical Laboratory
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 794-6363
ELIZABETH DUVALL PSYD
Psychologist (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
DR. LAURA K SEIBERT PHD, LP
Psychologist (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
DR. SHREESH KESHAVA PRASAD MD
Psychiatry & Neurology (Psychiatry)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
LAURA STEDER-MYERS LCSW
Social Worker (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 256-8674
LAURA ELAINE EASLER LCSW
Social Worker (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
WALKER GREGORY DE WITT LMFT
Marriage & Family Therapist
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azad Matari's NPI number?

The NPI number for Azad Matari is 1154929289. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Where is Azad Matari located?

Azad Matari practices at 11515 El Camino Real Ste 100, San Diego, CA 92130. The listed phone number is (858) 279-1223.

What is Azad Matari's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Azad Matari enrolled in Medicare?

Yes. Azad Matari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Azad Matari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Azad Matari reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Azad Matari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Azad Matari was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.