Individual provider Active NPI

Matthew Mai

  • Chiropractor
  • Encino, CA
National Provider Identifier
1013840743
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
37630 Issued in CA
Practice address
17609 Ventura Blvd Ste 104
Encino, CA 91316-5148
Phone
(818) 291-3636
NPI assigned
Jun 3, 2026
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 37630 CA Primary

Addresses

Primary practice location

17609 Ventura Blvd Ste 104
Encino, CA 91316-5148

Mailing address

22026 Cantlay St
Canoga Park, CA 91303-1101
Phone (818) 288-8064

Other practice location 1

11846 Ventura Blvd Ste 302
Studio City, CA 91604-2620
Phone (818) 255-6526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37630CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Body of Beverly Hills Wellness Inc PastSince Nov 12, 2023 Accepting new patients
Chldryan Chiropractic Inc. Chiropractor Past Accepting new patients
Body Medical Wellness Inc Chiropractor PastSince Dec 17, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1013840743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22026 CANTLAY ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031101",
            "telephone_number": "818-288-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 104",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165148",
            "telephone_number": "818-291-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11846 Ventura Blvd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Studio City",
            "state": "CA",
            "postal_code": "916042620",
            "country_code": "US",
            "telephone_number": "818-255-6526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "37630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.