Active NPI
Chris Maa, L.AC, ATC, DACM
- Acupuncturist
- Costa Mesa, CA
National Provider Identifier
1609342567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17984
- Practice address
- 3151 Airway Ave
Costa Mesa, CA 92626-4607 - Phone
- (714) 540-1710
- Fax
- (714) 540-3191
- NPI assigned
- Oct 18, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000012464 | CA | |
| Acupuncturist | 171100000X | 17984 | CA | Primary |
Addresses
Primary practice location
3151 Airway Ave
Costa Mesa, CA 92626-4607
Mailing address
3151 Airway Ave
Costa Mesa, CA 92626-4607
Phone (714) 540-1710
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 |
|---|---|---|---|
| 2000012464 | CA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oc Sports Therapy, Wellness, & Acupuncture Inc. | Current | Accepting new patients |
Locations
3151 Airway Ave
Ste K103
Costa Mesa, CA 92626
Phone (714) 540-1710
Organizations & group practices 1
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.
-
- Clinic/Center
- Costa Mesa, CA
- NPI 1275405565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1609342567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 AIRWAY AVE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264607",
"telephone_number": "714-540-1710",
"fax_number": "714-540-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 AIRWAY AVE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264607",
"telephone_number": "714-540-1710",
"fax_number": "714-540-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAA",
"first_name": "CHRIS",
"name_prefix": "Dr.",
"credential": "L.AC, ATC, DACM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-18",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000012464",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.