NPIMap

Individual provider Active NPI

Vafa Matin, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1184695371
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3833 Issued in AZ
Practice address
4041 N Central Ave BLDG C
Phoenix, AZ 85012-3313
Phone
(602) 279-5262
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3833 AZ Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 3833 AZ

Addresses

Primary practice location

4041 N Central Ave BLDG C
Phoenix, AZ 85012-3313

Mailing address

4041 N Central Ave BLDG C
Phoenix, AZ 85012-3313
Phone (602) 279-5262

Other identifiers 1

IdentifierTypeStateIssuer
834095MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000949 AZ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9133100886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Native HealthGroup PAC ID 4385738418, 21 clinicians

Practice addresses (Care Compare)

4041 N Central Ave
Phoenix, AZ 85012-3313
Phone (602) 279-5262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3833AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Native Health Current Accepting new patients
4C Medical Group PLC CurrentSince Apr 24, 2020 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 1, 2001 Accepting new patients
Native Health CurrentSince Nov 30, 2023 Accepting new patients
4C Medical Group PLC Family Medicine Current Accepting new patients
Native Health CurrentSince Nov 30, 2023 Accepting new patients
No Appointment MD Past Accepting new patients
Dhew Indian Health Service Health Services & Mental Health Adm. PastSince Jan 1, 1990 Accepting new patients
Native Health Past Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm PastSince Jan 1, 1990 Accepting new patients

Locations

4041 N Central Ave
Bldg C
Phoenix, AZ 85012
Phone (602) 679-5262

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

4845 E Thunderbird Rd
Ste 1
Scottsdale, AZ 85254
Phone (480) 699-7004

Interoperability endpoints

  • Direct secure messaging: vafa.matin.p1@direct.nachci.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Native American Community Health Center, Inc.Phoenix, AZ, CCN 031825 Federally qualified health center Corporate Officer Nov 30, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1184695371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N CENTRAL AVE BLDG C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123313",
            "telephone_number": "602-279-5262",
            "fax_number": "602-279-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N CENTRAL AVE BLDG C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123313",
            "telephone_number": "602-279-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIN",
        "first_name": "VAFA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3833",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AZ",
            "license": "3833",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834095",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.