Victor Vu Mai, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63879 Issued in CA

Practice address

25401 Alicia Pkwy
Suite J
Laguna Hills, CA 92653-4958

Phone

(949) 587-3010

Fax

(949) 215-3757

NPI assigned

Mar 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vu Mai Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Alicia Pkwy Dental

  • General Practice Dentistry
  • Laguna Hills, CA
  • NPI 1598168759
  NPD (past)

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

{
    "created_epoch": "1364083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1275875619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 ALICIA PKWY",
            "address_2": "SUITE J",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534958",
            "telephone_number": "949-587-3010",
            "fax_number": "949-215-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 ALICIA PKWY",
            "address_2": "SUITE J",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534958",
            "telephone_number": "949-587-3010",
            "fax_number": "949-215-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "VICTOR",
        "middle_name": "VU",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-24",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VU",
            "last_name": "MAI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samar Mahdavi
• Ghasak Amer Mahmood, M.D.
• Mahshid Farhoumand DDS Inc (Brilliant Smile dental group of mahshid farhoumand DDS)
• Mai Dental Corporation (Alicia Parkway Dental)
• Nga Mai, DMD
• Lisa L. Majer, D.O
• Tammy Major
• Chantelle Therese Malabanan, LCSW
• Andrew Steven Malatskey, MD
• Aura Camille Maldonado

• General Practice Dentistry in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.