Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adelina Matatova, PA-C

Individual provider Durable Medical Equipment & Medical Supplies · NPI 1316427479

Adelina Matatova, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2018, 8 years ago. Practices with Epiphany Dermatology of Arizona LLC, a 24-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
8
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2 N Central Ave Ste 120
Phoenix, AZ 85004-2972
Phone: (602) 296-4060
Fax: (602) 296-4146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 3011 S Lindsay Rd Ste 101, Gilbert, AZ 85295-4333 — (480) 726-2500
  • 3130 E Baseline Rd Ste 107, Mesa, AZ 85204-7290 — (480) 345-1980
  • 15256 N 75th Ave Ste 360, Peoria, AZ 85381-4761 — (623) 486-2424
  • 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 — (623) 243-9077
  • 20860 N Tatum Blvd Ste 290, Phoenix, AZ 85050-4282 — (480) 563-1144
  • 270 E Hunt Hwy Ste A-2, San Tan Valley, AZ 85143-4962 — (480) 882-2222
  • 2145 E Warner Rd Ste 104, Tempe, AZ 85284-3549 — (480) 664-9443

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7629170001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7034950001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7047150001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7209350001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7057360001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7045160001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7046960001 (AZ)

Record details

NPI number1316427479
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 17, 2018
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Epiphany Dermatology Of Arizona Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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