Individual provider Active NPI

Michael David Mauro, D.O.

  • Orthopaedic Surgery Physician
  • La Mirada, CA
National Provider Identifier
1285811695
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A15837 Issued in CA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1285811695OtherVASOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
1285811695MedicaidVA
1285811695OtherVAMAJESTACARE
1285811695OtherVAHUMANA MEDICARE
1285811695OtherVAHEALTHKEEPERS PLUS
1285811695OtherVAINTOTAL
1585811695OtherVAVIRGINIA HEALTH NETWORK
1285811695OtherVAAETNA
1285811695OtherVAGATEWAY
1285811695OtherVAVA PREMIER
541586601166OtherVATRICARE
1285811695OtherVAUMWA
1585811695OtherVACIGNA
1285811695OtherVAUNITED HEALTHCARE
1285811695OtherVAANTHEM
1285811695OtherVAHEALTHKEEPERS
1585811695OtherVAOPTIMA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171120003608 CA Practitioner - Orthopedic Surgery 3375696313 Reassigns benefits to 2 organizations

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.Group PAC ID 0941299135, shared by 2 NPIs, 35 clinicians

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

LicenseStateTypeSpecialty
20A15837CAMDOrthopaedic Surgery Physician
0102203398VAMDOrthopaedic Surgery Physician
15837CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpointe Medical Group, Inc. CurrentSince Oct 23, 2017 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Oct 23, 2017 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.

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

Verify at the official NPI Registry.