Active NPI
Cecilia Mai
- Optometrist
- Fullerton, CA
National Provider Identifier
1538741657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT34989TLG
- Practice address
- 2575 Yorba Linda Blvd
Fullerton, CA 92831-1615 - Phone
- (714) 449-7400
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | OPT34989TLG | CA | Primary |
Addresses
Primary practice location
2575 Yorba Linda Blvd
Fullerton, CA 92831-1615
Mailing address
21081 Hillsdale LN
Huntington Beach, CA 92646-7248
Phone (714) 510-6101
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT34989TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633219200000",
"number": "1538741657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21081 HILLSDALE LN",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926467248",
"telephone_number": "714-510-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 YORBA LINDA BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311615",
"telephone_number": "714-449-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "CECILIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2021-10-03",
"certification_date": "2021-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT34989TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.