Mayan Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MAYAN MEDICAL CLINIC

Practice address

1800 W 6TH St Ste 3
Los Angeles, CA 90057-3139

Phone

(213) 483-9996

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Carlos F Montoya Sr., MD

Title

Medical Director

Phone

(310) 707-7768

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos H Montenegro, M.D

  • Legal Medicine
  • Los Angeles, CA
  • NPI 1568527224
  NPD (past)

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1013739689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11827 ROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661119",
            "telephone_number": "310-707-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 6TH ST STE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573139",
            "telephone_number": "213-483-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYAN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-707-7768",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Maya
• Marcel M Maya, MD
• Teresa Maya
• Melody Joy Mayaco, NP-C
• Alexis Arlene Mayagoitia, BSN, RN, MSN, FNP
• Dylan Mayanja
• Roni Elaine Maybin, M.A.
• Lysa K Maybruck-Harrison, CADC-II
• Iris Maybruck, SPEECH PATHOLOGIST
• Leticia Maycotte

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.