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DR. MEHDI B MATIN D.D.S
NPI 1487965828
Oral & Maxillofacial Surgery in San Diego, CA

Active since June 30, 2010PECOS Enrolled
9855 ERMA RD STE 100, SAN DIEGO, CA 92131(858) 536-2900(858) 271-0529 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mehdi B Matin D.d.s NPPES

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

DR. MEHDI B MATIN D.D.S (NPI 1487965828) is an individual oral & maxillofacial surgery provider in San Diego, California, licensed in California (DDS60860) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1487965828
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MEHDI B MATINCredential: D.D.S
Location Address9855 ERMA RD STE 100San Diego, CA 92131-1007
Mailing Address11921 Carmel Creek Rd Apt 310San Diego, CA 92130-2659 · (206) 486-4946
Phone(858) 536-2900
Fax(858) 271-0529
Sole ProprietorYes
Enumeration DateJune 30, 2010
Last NPPES UpdateMay 10, 2023
NPPES CertifiedMay 10, 2023
✔ NPI 1487965828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in CA · DDS60860✔ Licensed in WA · DR60288665
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DR 60288665 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 12011690A (IN)
9855 ERMA RD STE 100, San Diego, CA 92131
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Secondary Practice Location 1

Location 11959 NE Pacific St Hsb Rm B 241Seattle, WA 98195-7134 · Phone (206) 797-3736

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mehdi B Matin D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Mehdi Matin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency And Acute Care Medical Corporation
8.6 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400
Harborview Medical Center
1,049 mi
General Acute Care Hospital
325 9TH AVE
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 267 clinicians in this Medicare group
NPI 1053359729 (206) 598-0678
University Of Washington
1,050 mi
Infusion Therapy
3100 NORTHUP WAY
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 274 clinicians in this Medicare group
NPI 1922467539 (425) 646-7777

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

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 Mehdi Matin's NPI number?

The NPI number for Mehdi Matin is 1487965828. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Mehdi Matin located?

Mehdi Matin practices at 9855 Erma Rd Ste 100, San Diego, CA 92131. The listed phone number is (858) 536-2900.

What is Mehdi Matin's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Mehdi Matin enrolled in Medicare?

Yes. Mehdi Matin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mehdi Matin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mehdi Matin reassigns Medicare benefits to 3 organizations: Emergency And Acute Care Medical Corporation (San Diego, CA), Harborview Medical Center (Seattle, WA) and University Of Washington (Bellevue, WA). Each 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 Mehdi Matin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mehdi Matin accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Mehdi Matin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mehdi Matin was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.