Individual provider Active NPI

Catherine S Mao, M.D.

  • Pediatric Endocrinology Physician
  • Torrance, CA
National Provider Identifier
1073567236
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
A51970 Issued in CA
Practice address
21840 Normandie Ave
Ste. 1100
Torrance, CA 90502-2047
Phone
(310) 222-5133
Fax
(310) 781-9352
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X A51970 CA Primary

Addresses

Primary practice location

21840 Normandie Ave
Ste. 1100
Torrance, CA 90502-2047

Mailing address

21840 Normandie Ave Ste 700
Torrance, CA 90502-2047
Phone (310) 222-5189

Other practice location 1

1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-5189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000751 CA Practitioner - EndocrinologyPractitioner - Pediatric Medicine 9234027434 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51970CAMDPharmacist
A51970CAMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Oct 1, 2002 Accepting new patients
Prohealth Partners, a Medical Group Current Accepting new patients
County of Los Angeles CurrentSince Oct 1, 2002 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Prohealth Partners a Medical Group Inc Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

1124 W Carson St
Torrance, CA 90502
Phone (310) 222-2773

21840 Normandie Ave
Ste 1100
Torrance, CA 90502
Phone (310) 222-5133

21840 Normandie Ave
Torrance, CA 90502
Phone (310) 222-5015

21840 Normandie Ave
Ste 100
Torrance, CA 90502
Phone (310) 222-5015

21840 Normandie Ave
Ste 700
Torrance, CA 90502
Phone (310) 222-5101

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

20911 Earl St
Ste 180
Torrance, CA 90503
Phone (310) 370-4660

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1073567236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21840 NORMANDIE AVE STE 700",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5189",
            "fax_number": "310-328-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21840 NORMANDIE AVE",
            "address_2": "STE. 1100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5133",
            "fax_number": "310-781-9352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-5189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAO",
        "first_name": "CATHERINE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "A51970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.