Mai Shimada Medical PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MAI SHIMADA MEDICAL PC

Practice address

2021 Fillmore St # 1092
San Francisco, CA 94115-2708

Phone

(415) 501-0812

NPI assigned

Feb 10, 2022

Organization subpart

No

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

Authorized official

Name

Mai Shimada

Title

Medical Director

Phone

(415) 505-0812

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1609520386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 FILLMORE ST # 1092",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 FILLMORE ST # 1092",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152708",
            "telephone_number": "415-501-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI SHIMADA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "SHIMADA",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-505-0812"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellianne L Mahoney
• Patrick Michael Mahoney
• Talia Mahony, MD
• Asmaa Mahoui
• Mai Nursing Anesthesia PC
• Mai-Sie Chan, M.D., Inc
• Betty Yu Yi Mai, DDS
• David Mai, CRNA
• Dexter Tzulun Mai, LCSW
• Fiona Mai

• Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.