Active NPI
Mark F. Maida, MD
- Dermatology Physician
- Los Alamitos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A92335
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 29 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 2032 |
| Removal of skin cancer | 128 |
| Removal or shaving of skin growth | 11 |
| Skin biopsy | 233 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A92335 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Fein MD Inc | Dermatology | Current | Accepting new patients |
| Csi Medical Group | Dermatology | Past | Accepting new patients |
| Howard Fein PC | Dermatology | Past | 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
- mmaida@palosverdes.emadirect.md
- 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.
-
- Dermatology Physician
- Rllng HLS Est, CA
- NPI 1073795266
-
- Dermatology Physician
- Rolling Hills Estates, CA
- NPI 1003633140
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1508815556
-
- Ambulatory Surgical Clinic/Center
- Rolling Hills Estates, CA
- NPI 1285028803
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.