Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Avi Meir Samuel Mallin, PA-C

Individual provider Physician Assistant · NPI 1023342813

Mr. Avi Meir Samuel Mallin, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 2009, 17 years ago. Practices with Arizona Pain Treatment Center P C, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2009
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

6644 E Baywood Avenue Banner Baywood Medical Ctr
Mesa, AZ 85206
Phone: (480) 321-4740
Fax: (480) 321-4565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4512 (AZ)

Record details

NPI number1023342813
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2009
Last updated in NPPESJanuary 13, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Arizona Pain Treatment Center P C — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Mesa