Individual provider Active NPI

Nhat Van Mai, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1417023029
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A45584 Issued in CA
Practice address
2641 Senter Rd
San Jose, CA 95111-1122
Phone
(408) 294-1990
Fax
(408) 294-1999
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 A45584 CA Primary

Addresses

Primary practice location

2641 Senter Rd
San Jose, CA 95111-1122

Mailing address

2641 Senter Rd
San Jose, CA 95111-1122
Phone (408) 294-1990

Other practice location 1

200 Jose Figueres Ave Ste 260
San Jose, CA 95116-1555
Phone (408) 294-1990

Other names 1

  • Nhat Van Mai Professional 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
I20080418000433 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 5597843383 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2641 Senter Rd
San Jose, CA 95111-1122
Phone (408) 294-1990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45584CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mai Medical, Inc. Family Medicine Current Accepting new patients

Locations

2641 Senter Rd
San Jose, CA 95111
Phone (408) 294-1990

200 Jose Figueres Ave
Ste 260
San Jose, CA 95116
Phone (408) 251-0835

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1417023029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 SENTER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111122",
            "telephone_number": "408-294-1990",
            "fax_number": "408-294-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 SENTER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111122",
            "telephone_number": "408-294-1990",
            "fax_number": "408-294-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Jose Figueres Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161555",
            "country_code": "US",
            "telephone_number": "408-294-1990",
            "fax_number": "408-294-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI",
        "first_name": "NHAT",
        "middle_name": "VAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NHAT",
            "last_name": "MAI",
            "middle_name": "VAN",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.