Active NPI
Ayemoethu Ma, M.D.
- Surgery Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C139328
- Practice address
- 10666 N Torrey Pines Rd # Ms 213
La Jolla, CA 92037-1092 - Phone
- (858) 554-8984
- Fax
- (858) 554-5055
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 245256 | NY | |
| Surgery Physician | 208600000X | C139328 | CA | Primary |
Addresses
Primary practice location
10666 N Torrey Pines Rd # Ms 213
La Jolla, CA 92037-1092
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 554-8984
Other practice location 1
1090 Amsterdam Ave
10a
New York, NY 10025-1737
Phone (212) 523-4799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- State University of New York at Stony Brook, School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C139328 | CA | MD | Surgery Physician |
| 245256 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of California, PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Surgery | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Surgery | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Surgery | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Alameda Health System | Surgery | Current | Accepting new patients |
| UCSF Dept of Surgery | Surgery | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Surgery | Current | Accepting new patients |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| St Lukes Roosevelt Hospital Center | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1845 4TH St FL 4
FL 4
San Francisco, CA 94143
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
425 W 59th St
New York, NY 10019
Phone (212) 376-3180
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
1090 Amsterdam Ave
#10A
New York, NY 10025
Phone (212) 523-4799
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
1090 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2211
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- ama73561@scrippshlth.medalliesdirect.net
Organizations & group practices 20
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Surgery
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Surgery Physician
- New York, NY
- NPI 1104295716
-
- Surgery Physician
- New York, NY
- NPI 1770823551
-
- Clinic/Center
- Alameda, CA
- NPI 1124446158
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1093811176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-554-8984",
"fax_number": "858-554-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10666 N TORREY PINES RD # MS 213",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371092",
"telephone_number": "858-554-8984",
"fax_number": "858-554-5055"
}
],
"practiceLocations": [
{
"address_1": "1090 Amsterdam Ave",
"address_2": "10a",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100251737",
"country_code": "US",
"telephone_number": "212-523-4799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MA",
"first_name": "AYEMOETHU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "245256",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C139328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.