Maya C Spaeth, MD, BSC, FACS, CAFP

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

A103913 Issued in CA

Practice address

4605 Brockton Ave Ste 200
Riverside, CA 92506-0107

Phone

(951) 222-4748

Fax

(951) 274-3427

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mspaeth791898@direct.llu.edu
• FHIR API: https://fhir4.healow.com/fhir/r4/ADDEBD

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.

• Brian J. Eichenberg, M.D., a Professional Corporation

  dba Renuance Cosmetic Surgery Center

  • Plastic Surgery Physician
  • Murrieta, CA
  • NPI 1306017801
  Medicare reassignment NPD
• Shahin S. Rad, M.D. PC

  dba Los Angeles Bone and Joint Institute

  • Orthopaedic Surgery Physician
  • Encino, CA
  • NPI 1801265673
  Medicare reassignment NPD
• Faculty Medical Group of Llusm

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1659677433
  NPD (past)
• Faculty Physicians and Surgeons of Llusm

  • Cardiovascular Disease Physician
  • Murrieta, CA
  • NPI 1427355619
  NPD (past)
• Riverside Healthcare System, L.P.

  dba Riverside Community Hospital

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1114971660
  NPD (past)
• Children's Surgical Associates, Corporation

  • Pediatric Surgery Physician
  • Columbus, OH
  • NPI 1417905324
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1174738637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 BROCKTON AVE STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060107",
            "telephone_number": "951-222-4748",
            "fax_number": "951-274-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 BROCKTON AVE STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060107",
            "telephone_number": "951-222-4748",
            "fax_number": "951-274-3427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S 18th St",
            "address_2": "First Floor",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052654",
            "country_code": "US",
            "telephone_number": "614-722-6640",
            "fax_number": "614-722-5826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAETH",
        "first_name": "MAYA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD, BSC, FACS, CAFP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A103913",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A103913",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35095923",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "OH",
            "license": "35095923",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A103913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southland Arthrites and Osteoporosis Medical Center Inc
• Southland Respiratory Inc
• Southland Spine & Rehabilitation Med Ctr
• Adebola Adegbola Soyemi, LMFT
• Aderayo Soyemi
• Nichol Marie Spainhower
• Austin Baylie Spangler
• Jack Robert Sparagna I
• Amber Sparks
• Dalene Sparks

• Surgery of the Hand (Plastic Surgery) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Surgery of the Hand (Plastic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.