Active NPI
Quynh Mai Clinic LLC
- Family Medicine Physician
- Kenner, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- QUYNH MAI CLINIC LLC
- Practice address
- 705 W Esplanade Ave
Kenner, LA 70065-2867 - Phone
- (504) 465-0185
- Fax
- (504) 467-1528
- NPI assigned
- May 20, 2006
- Last updated
- Nov 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Quynh Mai, MD
- Title
- Director
- Phone
- (504) 465-0185
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LA | Primary |
Addresses
Primary practice location
705 W Esplanade Ave
Kenner, LA 70065-2867
Mailing address
PO Box 73701
Metairie, LA 70033-3701
Phone (877) 241-1811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5CF86 | Other | LA | MEDICARE PTAN |
| 1448940 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1014295 | Quynh Mai Clinic, LLC | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
705 W Esplanade Ave
Kenner, LA 70065
Phone (504) 465-0185
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Kenner, LA
- NPI 1982668190
-
- Family Medicine Physician
- Kenner, LA
- NPI 1215178215
-
- Family Medicine Physician
- Kenner, LA
- NPI 1861784183
-
- Cardiovascular Disease Physician
- Dothan, AL
- NPI 1578562484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383264000000",
"number": "1568416709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73701",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700333701",
"telephone_number": "877-241-1811",
"fax_number": "888-849-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652867",
"telephone_number": "504-465-0185",
"fax_number": "504-467-1528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUYNH MAI CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2013-11-01",
"status": "A",
"authorized_official_last_name": "MAI",
"authorized_official_first_name": "QUYNH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "504-465-0185",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "5CF86",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1448940",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
- Paul Etienne Prouet Jr., O.D.
- Psychiatric Specialists Apmc
- Psychological Resources, P.C.
- Miesha Pumphrey
- Deanna M Quinn-Stevenson, FNP
- R. Joseph Tamimie, MD, Apmc (East Jefferson Occupations Medicine Clinic)
- Chad Radecker
- Libertad Orellana Raibstein, NNP
- Daniel Lawrence Raines, M.D.
- Rekha Ramachandran, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.