Individual provider Active NPI

Jesse Thi Mai, FNP-C

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1285970855
Registry record updated Mar 17, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Nov 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN001468 Issued in NV
Practice address
3227 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3180
Phone
(702) 222-0034
Fax
(702) 222-0659
NPI assigned
Dec 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN001468 NV Primary

Addresses

Primary practice location

3227 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3180

Mailing address

4324 S Eastern Ave Ste B
Las Vegas, NV 89119-6064
Phone (702) 405-8500

Other practice location 1

4324 S Eastern Ave Ste B
Las Vegas, NV 89119-6064
Phone (702) 405-8500

Other practice location 2

9315 W Sunset Rd Ste 100
Las Vegas, NV 89148-5012
Phone (702) 480-2044

Other practice location 3

9315 W Sunset Rd Ste 100
Las Vegas, NV 89148-5012
Phone (702) 480-2044

Other names 1

  • Jesus Mai Ronquillo Former name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Nevada, Inc. a Medical Corporation Past Accepting new patients
Christopher S Choi MD a Prof Corp PastSince Sep 29, 2010 Accepting new patients
Valley Primary Care Center LLC PastSince Nov 28, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1356739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285970855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 S EASTERN AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196064",
            "telephone_number": "702-405-8500",
            "fax_number": "702-405-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 E WARM SPRINGS RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203180",
            "telephone_number": "702-222-0034",
            "fax_number": "702-222-0659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4324 S Eastern Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196064",
            "country_code": "US",
            "telephone_number": "702-405-8500",
            "fax_number": "702-405-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9315 W Sunset Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485012",
            "country_code": "US",
            "telephone_number": "702-480-2044",
            "fax_number": "866-280-7759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9315 W Sunset Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485012",
            "country_code": "US",
            "telephone_number": "702-480-2044",
            "fax_number": "866-280-7759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI",
        "first_name": "JESSE",
        "middle_name": "THI",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESUS",
            "last_name": "RONQUILLO",
            "middle_name": "MAI",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.