Archie R Mays, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A46453 Issued in CA

Practice address

110 W Ocean Blvd
Suite 526
Long Beach, CA 90802-4605

Phone

(800) 963-9672

Fax

(562) 683-0438

NPI assigned

May 16, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Orthopedic Surgery

Education

Meharry Medical College School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superclinic Professionals Medical Corp a California CorporationGroup PAC ID 6507120656, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Relief Home Health Care, Inc Home health agency, Van Nuys, CA, CCN 559327

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Superclinic Professionals Medical Corp a California Corporation

  • Multi-Specialty Clinic/Center
  • North Hollywood, CA
  • NPI 1326564212
  Medicare reassignment Care Compare group NPD
• West Ocean Medical Group, Inc

  • General Practice Physician
  • Long Beach, CA
  • NPI 1184868911
  Authorized official Same address or phone
• West Ocean Medical Group, Inc

  • Non-Pharmacy Dispensing Site
  • Long Beach, CA
  • NPI 1568753283
  NPD (past) Authorized official
• C.M.Bosley Medical Group,Inc.

  • General Practice Physician
  • Van Nuys, CA
  • NPI 1306862339
  NPD (past)
• Panorama City Medical Center,Inc

  • General Practice Physician
  • Panorama City, CA
  • NPI 1497773840
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Relief Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1770934291
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568414886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W OCEAN BLVD",
            "address_2": "SUITE 526",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024605",
            "telephone_number": "800-963-9672",
            "fax_number": "562-683-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W OCEAN BLVD",
            "address_2": "SUITE 526",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024605",
            "telephone_number": "800-963-9672",
            "fax_number": "562-683-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "ARCHIE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A46453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "A46453",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krysclie Mayer, PSYD
• Pamela A Maynard, LVN
• Taylor Anice Maynard
• Tamekia Mayo
• Juan Mayorga Jr., LCSW
• Asia Mazin
• Mazonia Dialysis LLC (El Dorado Dialysis)
• Michael Mazzarino, LMFT, LAADC
• Blessing Mbuyi
• MC Pharmacy Inc (Today Pharmacy)

• General Practice Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.