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: July 19, 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
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Social Worker (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
Psychiatry & Neurology (Psychiatry)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
Psychiatry & Neurology (Psychiatry)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
Social Worker (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
Marriage & Family Therapist
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
Psychologist (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
Marriage & Family Therapist
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
Social Worker (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154929289, enumerated as an "individual" on October 12, 2020.

The provider is located at 11515 EL CAMINO REAL STE 100 SAN DIEGO, CA 92130 and the phone number is (858) 279-1223.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.