Individual provider Active NPI

Ayemoethu Ma, M.D.

  • Surgery Physician
  • La Jolla, CA
National Provider Identifier
1093811176
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C139328 Issued in CA
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

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070829000943 NY Practitioner - General Surgery 2365443652 Reassigns benefits to 2 organizations
I20180620002791 CA Practitioner - General Surgery 2365443652 Reassigns benefits to 5 organizations

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
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

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 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C139328CAMDSurgery Physician
245256NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Apr 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Jan 1, 2016 Accepting new patients
Scripps Health Current Accepting new patients
University of California San Francisco CurrentSince Dec 12, 2023 Accepting new patients
UCSF Medical Group Business Services Surgery CurrentSince Dec 12, 2023 Accepting new patients
University of California San Francisco CurrentSince Dec 12, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 12, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Oct 11, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Alameda Health System Surgery Current Accepting new patients
UCSF Dept of Surgery Surgery CurrentSince Dec 12, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 11, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery Current Accepting new patients
Alameda Health System CurrentSince Feb 1, 2022 Accepting new patients
Alameda Health System CurrentSince Feb 1, 2022 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

  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.