Mai Pathology Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A104816 Issued in CA

Legal business name

MAI PATHOLOGY INC

Practice address

16850 Bear Valley Rd
Victorville, CA 92395-5794

Phone

(888) 851-1183

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Yvonne Noronha, MDNPI 1871771238

Title

President

Phone

(800) 288-8325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvonne Saldanha Noronha, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Victorville, CA
  • NPI 1871771238
  Medicare reassignment Authorized official
• Regina Imelda Hojilla De Luna, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Apple Valley, CA
  • NPI 1821318106
  Medicare reassignment

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1548542871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 BEAR VALLEY RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955794",
            "telephone_number": "888-851-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "NORONHA",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-288-8325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A104816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Magallanes
• Cynthia E Magana, BCBA
• Hazel Jabines Maghanoy, FNP
• Kathleen Magill, RN
• Noarie Iverie Magoun, DNP
• VI Mai, PHARMD
• Major Change Youth and Adult Support Services of California
• Harikrishna J Makani
• Venkata Akhil Makarla
• Shelby Nichole Makris, PA

• Specialist in Victorville, CA
• Providers in Victorville, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.