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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: August 09, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.