Khiem Mai Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KHIEM MAI MEDICAL

Practice address

8901 Activity Rd Ste 205
San Diego, CA 92126-4436

Phone

(858) 779-9919

Fax

(858) 779-9219

NPI assigned

Mar 4, 2025

Last updated

Mar 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie G Mai

Title

Manager

Phone

(858) 779-9919

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Kenny Khiem-Huy Mai, D.O

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1760703623
  Medicare reassignment NPD

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1720886138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 ACTIVITY RD STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264436",
            "telephone_number": "858-779-9919",
            "fax_number": "858-779-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ACTIVITY RD STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264436",
            "telephone_number": "858-779-9919",
            "fax_number": "858-779-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHIEM MAI MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-779-9919"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Khder, PH.D.
• Bhupinder Khehar, M.D.
• Hamid Kheradmandnia, DDS
• Ambika Rashmi Khetarpal
• Vishal Khiatani, MD
• Tina Khieu, OD
• Vivian Thao Khieu
• Cindy Khine
• Sheetal Khiyani, M.D.
• Swapnil Khoche

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.