Organization Active NPI

Mayer MD Inc.

  • Family Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1194866525
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G69356 Issued in CA
Legal business name
MAYER MD INC.
Doing business as
DR. MAYER'S WOMEN'S AND CHILDREN
Practice address
2568 Clarendon Ave
Huntington Park, CA 90255-4073
Phone
(323) 582-5444
Fax
(323) 584-6992
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Mayer Mayer, MDNPI 1952311409
Title
Owner
Phone
(323) 582-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G69356 CA Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X G69356 CA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X G69356 CA

Addresses

Primary practice location

2568 Clarendon Ave
Huntington Park, CA 90255-4073

Mailing address

2568 Clarendon Ave
Huntington Park, CA 90255-4073
Phone (323) 582-5444

Other identifiers 1

IdentifierTypeStateIssuer
GR0095862OtherCAMEDI-CAL NUMBER

Other names 1

  • DR. MAYER'S WOMEN'S AND CHILDREN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140509000356 CA Part B Supplier - Clinic/Group Practice 3375776727 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Huntington Park, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2568 Clarendon Ave
Huntington Park, CA 90255
Phone (310) 613-7224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1194866525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 CLARENDON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554073",
            "telephone_number": "323-582-5444",
            "fax_number": "323-584-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 CLARENDON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554073",
            "telephone_number": "323-582-5444",
            "fax_number": "323-584-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYER MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-582-5444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G69356",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G69356",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G69356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL NUMBER",
            "identifier": "GR0095862",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. MAYER'S WOMEN'S AND CHILDREN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.