Organization Active NPI

Mai Nursing Anesthesia PC

Doing business as Kaleidoscope Anesthesia Nursing

  • Anesthesiology Physician
  • San Francisco, CA
National Provider Identifier
1003572769
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MAI NURSING ANESTHESIA PC
Doing business as
Kaleidoscope Anesthesia Nursing
Practice address
88 Sutter St
San Francisco, CA 94104-4900
Phone
(628) 777-7064
NPI assigned
Nov 16, 2021
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
David MaiNPI 1568701845
Title
Owner
Phone
(415) 328-0993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

88 Sutter St
San Francisco, CA 94104-4900

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (877) 747-5050

Other practice location 1

2160 W Grant Line Rd
Tracy, CA 95377-7330
Phone (209) 836-5680

Other names 2

  • Kaleidoscope Anesthesia Nursing Doing business as
  • MAITRAN CONSULTING INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220414001359 CA Part B Supplier - Clinic/Group Practice 2567858764 Receives reassigned benefits from 91 practitioners
Practice locations: Tracy, CA; Santa Rosa, CA; Santa Cruz, CA; San Rafael, CA; Napa, CA; Greenbrae, CA; Fremont, CA; Freedom, CA…
O20250311002264 HI Part B Supplier - Clinic/Group Practice 2567858764 Receives reassigned benefits from 1 practitioner
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Locations

160 Green Valley Rd
Ste 101
Freedom, CA 95019
Phone (831) 636-4915

936 7th St
Ste B
Novato, CA 94945

901 E St
Ste 270
San Rafael, CA 94901
Phone (415) 454-2112

Practitioners & affiliated clinicians

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1003572769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "877-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044900",
            "telephone_number": "628-777-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 W Grant Line Rd",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953777330",
            "country_code": "US",
            "telephone_number": "209-836-5680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAI NURSING ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-328-0993"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaleidoscope Anesthesia Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAITRAN CONSULTING INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.