Active NPI
Xuyen Kim Mai
- Pharmacist
- Orange, CA
National Provider Identifier
1255197026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89245
- Practice address
- 600 City Pkwy W Ste 1000
Orange, CA 92868-2968 - Phone
- (800) 708-3230
- NPI assigned
- Feb 28, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 89245 | CA | Primary |
Addresses
Primary practice location
600 City Pkwy W Ste 1000
Orange, CA 92868-2968
Mailing address
13191 Nina PL
Garden Grove, CA 92843-1305
Phone (714) 902-7579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89245 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1255197026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13191 NINA PL",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431305",
"telephone_number": "714-902-7579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CITY PKWY W STE 1000",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682968",
"telephone_number": "800-708-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "XUYEN",
"middle_name": "KIM",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.