Individual provider Active NPI

Michael S Maehara, M.D.

  • Rheumatology Physician
  • Long Beach, CA
National Provider Identifier
1316969629
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
39815 Issued in CA
Practice address
2220 Clark Ave
Long Beach, CA 90815-2521
Phone
(562) 597-4181
Fax
(562) 597-7083
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A39815 CA
Rheumatology Physician 207RR0500X 39815 CA Primary

Addresses

Primary practice location

2220 Clark Ave
Long Beach, CA 90815-2521

Mailing address

75 Remittance Dr Dept 6008
Chicago, IL 60675-6008
Phone (562) 282-1419

Other identifiers 1

IdentifierTypeStateIssuer
00A398150MedicaidCA

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
I20110224000496 CA Practitioner - Internal MedicinePractitioner - RheumatologyPractitioner - Family Practice 2567643497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, Rheumatology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

12214 Lakewood Blvd
Suite 110
Downey, CA 90242-2663
Phone (562) 904-4430

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

16510 Bloomfield Ave
Cerritos, CA 90703-2115
Phone (562) 229-0902

Hospital & facility affiliations

  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39815CAMDOrthodontics and Dentofacial Orthopedic Dentist
A39815CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Aug 15, 2020 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pioneer Medical Group Inc. CurrentSince Aug 12, 2002 Accepting new patients
Pih Health Physicians CurrentSince Aug 15, 2020 Accepting new patients

Locations

11480 Brookshire Ave
Ste 101
Downey, CA 90241

12214 Lakewood Blvd
Downey, CA 90242
Phone (562) 904-4430

11480 Brookshire Ave
Ste 204
Downey, CA 90241
Phone (562) 862-2775

11480 Brookshire Ave
Downey, CA 90241
Phone (562) 862-0804

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1045 Atlantic Ave
Ste 512
Long Beach, CA 90813
Phone (562) 435-0862

2220 Clark Ave
Long Beach, CA 90815
Phone (562) 597-4181

3801 Katella Ave
Ste 206
Los Alamitos, CA 90720
Phone (562) 493-3764

3851 Katella Ave
Ste 155
Los Alamitos, CA 90720
Phone (562) 344-1350

4476 Tweedy Blvd
South Gate, CA 90280
Phone (323) 563-9499

6557 Greenleaf Ave
Whittier, CA 90601
Phone (562) 789-5401

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michaelmaehara@pihh.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1316969629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR DEPT 6008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756008",
            "telephone_number": "562-282-1419",
            "fax_number": "562-920-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CLARK AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152521",
            "telephone_number": "562-597-4181",
            "fax_number": "562-597-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEHARA",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A39815",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "39815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A398150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.