Active NPI
Michael David Mauro, D.O.
- Orthopaedic Surgery Physician
- La Mirada, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 20A15837
- Practice address
- 16702 Valley View Ave
La Mirada, CA 90638-5824 - Phone
- (562) 921-0341
- Fax
- (562) 404-0266
- NPI assigned
- Jan 28, 2008
- Last updated
- Oct 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0102203398 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | 20A15837 | CA | Primary |
Addresses
Primary practice location
16702 Valley View Ave
La Mirada, CA 90638-5824
Mailing address
16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (714) 367-5360
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285811695 | Other | VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| 1285811695 | Medicaid | VA | |
| 1285811695 | Other | VA | MAJESTACARE |
| 1285811695 | Other | VA | HUMANA MEDICARE |
| 1285811695 | Other | VA | HEALTHKEEPERS PLUS |
| 1285811695 | Other | VA | INTOTAL |
| 1585811695 | Other | VA | VIRGINIA HEALTH NETWORK |
| 1285811695 | Other | VA | AETNA |
| 1285811695 | Other | VA | GATEWAY |
| 1285811695 | Other | VA | VA PREMIER |
| 541586601166 | Other | VA | TRICARE |
| 1285811695 | Other | VA | UMWA |
| 1585811695 | Other | VA | CIGNA |
| 1285811695 | Other | VA | UNITED HEALTHCARE |
| 1285811695 | Other | VA | ANTHEM |
| 1285811695 | Other | VA | HEALTHKEEPERS |
| 1585811695 | Other | VA | OPTIMA HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpointe Medical Group, Inc.
Practice addresses (Care Compare)
1171 Railroad St
Suite 101
Corona, CA 92882-8247
Phone (951) 272-1400
16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (562) 921-0341
1717 E Lincoln Ave
Anaheim, CA 92805-4345
Phone (714) 635-2642
290 N 10TH St
Suite 100
Colton, CA 92324-3052
Phone (909) 264-2500
5584 N Paramount Blvd
Suite 100
Long Beach, CA 90805-5149
Phone (562) 920-8394
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15837 | CA | MD | Orthopaedic Surgery Physician |
| 0102203398 | VA | MD | Orthopaedic Surgery Physician |
| 15837 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Past | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Past | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Past | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Past | Accepting new patients |
Locations
1717 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 635-2642
290 N 10th St
Ste 100
Colton, CA 92324
Phone (909) 264-2500
1171 Railroad St
Ste 101
Corona, CA 92882
Phone (951) 272-1400
7052 Orangewood Ave
Ste 6
Garden Grove, CA 92841
Phone (714) 903-1000
16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341
5584 N Paramount Blvd
Ste 100
Long Beach, CA 90805
Phone (562) 920-8394
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1285811695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16702 VALLEY VIEW AVE",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906385824",
"telephone_number": "714-367-5360",
"fax_number": "714-367-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16702 VALLEY VIEW AVE",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906385824",
"telephone_number": "562-921-0341",
"fax_number": "562-404-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURO",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0102203398",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "20A15837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAJESTACARE",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA MEDICARE",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHKEEPERS PLUS",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTOTAL",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "1585811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "541586601166",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1585811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHKEEPERS",
"identifier": "1285811695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH PLAN",
"identifier": "1585811695",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.