Active NPI
Mae Kinaly, M.D.
- Internal Medicine Physician
- Irvine, CA
National Provider Identifier
1275566085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G78251
- Practice address
- 22 Odyssey
Ste 215
Irvine, CA 92618-3186 - Phone
- (949) 398-7444
- Fax
- (949) 398-7445
- NPI assigned
- Jul 8, 2006
- Last updated
- Dec 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G78251 | CA | Primary |
Addresses
Primary practice location
22 Odyssey
Ste 215
Irvine, CA 92618-3186
Mailing address
22 Odyssey
Ste 215
Irvine, CA 92618-3186
Phone (949) 398-7444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78251 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1275566085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ODYSSEY",
"address_2": "STE 215",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183186",
"telephone_number": "949-398-7444",
"fax_number": "949-398-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ODYSSEY",
"address_2": "STE 215",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183186",
"telephone_number": "949-398-7444",
"fax_number": "949-398-7445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINALY",
"first_name": "MAE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G78251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.