Marvin C. Mah, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

006996T Issued in CA

Practice address

1556 Washington Blvd
Fremont, CA 94539-5100

Phone

(510) 438-0508

Fax

(513) 661-2362

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Marvin C Mah, OD, Inc

  • Optometrist
  • Fremont, CA
  • NPI 1437417433
  NPD (past) Authorized official

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1245228402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 WASHINGTON BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395100",
            "telephone_number": "510-438-0508",
            "fax_number": "513-661-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 WASHINGTON BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395100",
            "telephone_number": "510-438-0508",
            "fax_number": "513-661-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAH",
        "first_name": "MARVIN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "006996T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0069960T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleecia Madrigal
• Karla Iran Magana Hernandez
• Marie Antoinette Magana, MSN-RN, PMHNP-BC
• Olivia Rose Magana
• Christopher Mah
• Jessica Damyanti Mahabali
• Kaliah Uilani Mahafutau
• Anmol Singh Mahal, M.D.
• Gurjeet Mahal, PA-C
• Ciara Anne Mahan, M.S.

• Optometrist in Fremont, CA
• Providers in Fremont, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.