Nghi C Maokhamphiou, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

14488 Issued in CA

Practice address

2200 Del Paso Blvd
Sacramento, CA 95815-3102

Phone

(916) 924-7988

Fax

(916) 924-7988

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Health and Life Organization, Inc

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1740336734
  Medicare reassignment
• Health and Life Organization, Inc.

  dba Sacramento Community Clinic - Assembly Court

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1295044832
  NPD
• Health and Life Organization, Inc.

  dba Sacramento Community Clinic - El Camino

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1427715515
  NPD
• Health and Life Organization, Inc.

  dba Sacramento Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1538180245
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538201504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DEL PASO BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153102",
            "telephone_number": "916-924-7988",
            "fax_number": "916-924-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DEL PASO BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153102",
            "telephone_number": "916-924-7988",
            "fax_number": "916-924-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAOKHAMPHIOU",
        "first_name": "NGHI",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "14488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASIST. LICENSE",
            "identifier": "14488",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Mao, M.D.
• Kenzie Mao
• Natalie Yezi Mao, PT, DPT
• Nathan Darius Mao
• Wei Mao, DC
• Mapa RX Holdings, Inc. (Capital City Pharmacy)
• Mapa RX Holdings, Inc. (Capital City Pharmacy)
• Barbara B Mapalo, LCSW
• Clarence Anthony Maple
• William Mapp III

• Medical Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.