Individual provider Active NPI

Mark F. Maida, MD

  • Dermatology Physician
  • Los Alamitos, CA
National Provider Identifier
1144378175
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A92335 Issued in CA
Practice address
3772 Katella Ave
#206
Los Alamitos, CA 90720-3104
Phone
(562) 430-4294
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A92335 CA Primary

Addresses

Primary practice location

3772 Katella Ave
#206
Los Alamitos, CA 90720-3104

Mailing address

3772 Katella Ave
#206
Los Alamitos, CA 90720-3104
Phone (562) 430-4294

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
I20080327000581 CA Practitioner - Dermatology 1557447794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard Fein MD IncGroup PAC ID 4082678305, 14 clinicians

Practice addresses (Care Compare)

3772 Katella Ave
Suite 206
Los Alamitos, CA 90720-6428
Phone (562) 430-4294

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of tissue1-10
Removal of skin lesions2032
Removal of skin cancer128
Removal or shaving of skin growth11
Skin biopsy233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92335CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Fein MD Inc Dermatology CurrentSince Mar 1, 2021 Accepting new patients
Csi Medical Group Dermatology PastSince Nov 29, 2018 Accepting new patients
Howard Fein PC Dermatology PastSince Nov 1, 2025 Accepting new patients
Palos Verdes Skin Surgery Ctr Inc Past Accepting new patients
Island Dermatology, Inc Dermatology Past Accepting new patients

Locations

11525 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 923-6450

2720 N Harbor Blvd
Ste 300
Fullerton, CA 92835
Phone (657) 632-0123

5865 E Naples Plz
Long Beach, CA 90803
Phone (310) 541-7800

3772 Katella Ave
Ste 206
Los Alamitos, CA 90720
Phone (562) 430-4294

File 51107
Los Angeles, CA 90074

13900 Seal Beach Blvd
#A
Seal Beach, CA 90740
Phone (562) 430-4294

13928 Seal Beach Blvd
Seal Beach, CA 90740
Phone (561) 459-7100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mmaida@palosverdes.emadirect.md
  • Direct secure messaging: mark.maida@pd.eclinicaldirectplus.com

Organizations & group practices 5

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1144378175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3772 KATELLA AVE",
            "address_2": "#206",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203104",
            "telephone_number": "562-430-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 KATELLA AVE",
            "address_2": "#206",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203104",
            "telephone_number": "562-430-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDA",
        "first_name": "MARK",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A92335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.