Individual provider Active NPI

Louie G Mahairas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Laguna Hills, CA
National Provider Identifier
1598843740
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4183 Issued in CA
Practice address
24953 Paseo de Valencia
Suite 15C
Laguna Hills, CA 92653-4342
Phone
(949) 305-8333
Fax
(949) 305-6333
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4183 CA Primary

Addresses

Primary practice location

24953 Paseo de Valencia
Suite 15C
Laguna Hills, CA 92653-4342

Mailing address

27068 La Paz Rd
Suite 444
Aliso Viejo, CA 92656-3041
Phone (949) 305-8333

Other identifiers 1

IdentifierTypeStateIssuer
000E41830MedicaidCA

Other names 1

  • Louis G Mahairas Professional name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian I. Watanabe, M.D., Inc. Past Accepting new patients
Michael Jaroslav Stastny, DPM, a Professional Corporation Foot & Ankle Surgery Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1598843740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27068 LA PAZ RD",
            "address_2": "SUITE 444",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563041",
            "telephone_number": "949-305-8333",
            "fax_number": "949-305-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "SUITE 15C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-305-8333",
            "fax_number": "949-305-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAIRAS",
        "first_name": "LOUIE",
        "middle_name": "G",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E41830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUIS",
            "last_name": "MAHAIRAS",
            "middle_name": "G",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.