Individual provider Active NPI

Sahand Vafadary, M.D.

  • Family Medicine Physician
  • Apache Junction, AZ
National Provider Identifier
1760834204
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66576 Issued in AZ
Practice address
1075 S Idaho Rd Ste 206
Apache Junction, AZ 85119-6405
Phone
(480) 827-5005
Fax
(480) 827-5001
NPI assigned
Jul 8, 2016
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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 MD60916833 WA
Family Medicine Physician 207Q00000X 66576 AZ Primary

Addresses

Primary practice location

1075 S Idaho Rd Ste 206
Apache Junction, AZ 85119-6405

Mailing address

1075 S Idaho Rd Ste 206
Apache Junction, AZ 85119-6405
Phone (480) 827-5005

Other identifiers 1

IdentifierTypeStateIssuer
2134512MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220715001652 AZ Practitioner - Family Practice 1153616438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1917 S Crismon Rd
Mesa, AZ 85209-6216
Phone (480) 610-7100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66576AZMDFamily Medicine Physician
MD60916833WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 15, 2022 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 15, 2022 Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

1075 S Idaho Rd
Ste 206
Apache Junction, AZ 85119
Phone (480) 827-5005

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1917 S Crismon Rd
Mesa, AZ 85209
Phone (480) 610-7100

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

Interoperability endpoints

  • Direct secure messaging: sahand.vafadary.1@15048.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1760834204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S IDAHO RD STE 206",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851196405",
            "telephone_number": "480-827-5005",
            "fax_number": "480-827-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S IDAHO RD STE 206",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851196405",
            "telephone_number": "480-827-5005",
            "fax_number": "480-827-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAFADARY",
        "first_name": "SAHAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-08",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60916833",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "66576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2134512",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.