Healthcare Provider Details
I. General information
NPI: 1144171372
Provider Name (Legal Business Name): COMPREHENSIVE PRIMARY CARE AND INFECTIOUS DISEASE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/04/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5650 W CHANDLER BLVD BLDG 2 STE 9
CHANDLER AZ
85226
US
IV. Provider business mailing address
1110 W ELLIOT RD # 1126
TEMPE AZ
85284-1107
US
V. Phone/Fax
- Phone: 919-943-3229
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0208X |
| Taxonomy | Pediatric Infectious Diseases Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MATILDA
OLAJUMOKE
BARAKA
Title or Position: FOUNDER
Credential: MD, MPH
Phone: 602-933-4336