NPIMap

Organization Active NPI

May Medical Management Corporation

  • Urgent Care Clinic/Center
  • La Verne, CA
National Provider Identifier
1073058103
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MAY MEDICAL MANAGEMENT CORPORATION
Practice address
1234 Foothill Blvd
La Verne, CA 91750-3329
Phone
(909) 596-4879
Fax
(909) 596-9199
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Sadiq Mandilawi, MDNPI 1295716736
Title
Co-Owner
Phone
(909) 596-4879

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1234 Foothill Blvd
La Verne, CA 91750-3329

Mailing address

1234 Foothill Blvd
La Verne, CA 91750-3329
Phone (909) 596-4879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170327002614 CA Part B Supplier - Clinic/Group Practice 2668757055 Receives reassigned benefits from 7 practitioners
Practice locations: Glendora, CA; La Verne, CA; Pomona, CA; San Dimas, CA

National Provider Directory

National Provider Directory

Locations

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

1771 S Grand Ave
Glendora, CA 91740
Phone (626) 966-7529

10841 White Oak Ave
Ste 103
Rch Cucamonga, CA 91730
Phone (909) 297-2128

21860 Burbank Blvd
Ste 120
Woodland Hills, CA 91367

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1073058103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503329",
            "telephone_number": "909-596-4879",
            "fax_number": "909-596-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503329",
            "telephone_number": "909-596-4879",
            "fax_number": "909-596-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAY MEDICAL MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "MANDILAWI",
        "authorized_official_first_name": "SADIQ",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "909-596-4879",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.