Individual provider Active NPI

Yen K Mai, DMD

  • General Practice Dentistry
  • Bellflower, CA
National Provider Identifier
1336710003
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106306 Issued in CA
Practice address
17802 Clark Ave
Bellflower, CA 90706-6505
Phone
(562) 925-8338
NPI assigned
Jul 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 106306 CA Primary

Addresses

Primary practice location

17802 Clark Ave
Bellflower, CA 90706-6505

Mailing address

6040 Center Dr Apt 205
Los Angeles, CA 90045-1794
Phone (714) 724-1528

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

State licenses

LicenseStateTypeSpecialty
106306CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mina Girgis DDS, Inc CurrentSince Feb 19, 2023 Accepting new patients

Locations

17802 Clark Ave
Bellflower, CA 90706
Phone (562) 925-8338

Organizations & group practices 1

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": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1336710003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 CENTER DR APT 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451794",
            "telephone_number": "714-724-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17802 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066505",
            "telephone_number": "562-925-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "YEN",
        "middle_name": "K",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.