NPIMap

Individual provider Active NPI

Nina Khin Maw Maw, M.D.

  • Family Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1407851777
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A79700 Issued in CA
Practice address
35900 Bob Hope Dr Ste 230
Rancho Mirage, CA 92270-1767
Phone
(760) 778-7147
Fax
(760) 416-5025
NPI assigned
Jun 14, 2005
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A79700 CA Primary

Addresses

Primary practice location

35900 Bob Hope Dr Ste 230
Rancho Mirage, CA 92270-1767

Mailing address

62 Calle Manzanita
Rancho Mirage, CA 92270-4140
Phone (760) 836-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000778 CA Practitioner - Family Practice 0547257891 Reassigns benefits to 1 organization
Practice locations: Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

47120 Dune Palms Rd
Suite 107
La Quinta, CA 92253-2096
Phone (760) 444-1422

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Melanoma (skin cancer) excision1-10
Removal of tissue43
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Primehealth 360 Inc Family Medicine CurrentSince Sep 18, 2019 Accepting new patients
First Choice Physician Partners Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
First Choice Physician Partners CurrentSince Sep 1, 2020 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

47120 Dune Palms Rd
Ste 107
La Quinta, CA 92253
Phone (760) 444-1422

79440 Corporate Center Dr
Ste 111A
La Quinta, CA 92253
Phone (678) 837-2565

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

555 E Tachevah Dr
Ste 2E107
Palm Springs, CA 92262
Phone (760) 561-7373

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
#1112
Rancho Mirage, CA 92270
Phone (760) 773-1251

58457 29 Palms Hwy
Ste 200
Yucca Valley, CA 92284
Phone (760) 228-1813

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nina.mawmaw@966354050547716.direct.elationemr.com
  • Direct secure messaging: nina.mawmaw@983424124059652.direct.elationemr.com

Organizations & group practices 9

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 8

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1407851777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CALLE MANZANITA",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704140",
            "telephone_number": "760-836-0110",
            "fax_number": "760-836-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DR STE 230",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701767",
            "telephone_number": "760-778-7147",
            "fax_number": "760-416-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAW MAW",
        "first_name": "NINA",
        "middle_name": "KHIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.