Individual provider Active NPI

Anh Aline Mai, M.D.

  • Emergency Medicine Physician
  • South El Monte, CA
National Provider Identifier
1376706853
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A117560 Issued in CA
Practice address
1701 Santa Anita Ave
South El Monte, CA 91733-3411
Phone
(626) 679-7777
NPI assigned
Jul 6, 2008
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT193208 PA
Emergency Medicine Physician 207P00000X A117560 CA Primary

Addresses

Primary practice location

1701 Santa Anita Ave
South El Monte, CA 91733-3411

Mailing address

12027 Aneta St
Culver City, CA 90230-5909
Phone (714) 267-8314

Other practice location 1

900 S Atlantic Blvd
Monterey Park, CA 91754-4716
Phone (626) 570-9000

Other names 1

  • Dr. Anh Aline Mai-Dursun Other name

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
I20120301000203 CA Practitioner - Emergency Medicine 4688832157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 573-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT193208PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden West Emergency Medical Associates, Inc Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Gem Medical Group Corporation Emergency Medicine PastSince Dec 28, 2022 Accepting new patients

Locations

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1376706853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12027 ANETA ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305909",
            "telephone_number": "714-267-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SANTA ANITA AVE",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333411",
            "telephone_number": "626-679-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917544716",
            "country_code": "US",
            "telephone_number": "626-570-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI",
        "first_name": "ANH",
        "middle_name": "ALINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-06",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT193208",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A117560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANH",
            "last_name": "MAI-DURSUN",
            "middle_name": "ALINE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South El Monte, CA

Sources for this page

Verify at the official NPI Registry.