Organization Active NPI

Kathleen Mai OD

  • Optometrist
  • Turlock, CA
National Provider Identifier
1760939565
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14443 Issued in CA
Legal business name
KATHLEEN MAI OD
Practice address
2111 Fulkerth Rd
Turlock, CA 95380-9515
Phone
(209) 634-8634
NPI assigned
Sep 9, 2016
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Kathleen Mai, OD
Title
Optometrist
Phone
(510) 388-7379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14443 CA Primary

Addresses

Primary practice location

2111 Fulkerth Rd
Turlock, CA 95380-9515

Mailing address

14603 Merced St
San Leandro, CA 94579-1058

National Provider Directory

National Provider Directory

Locations

2111 Fulkerth Rd
Turlock, CA 95380
Phone (209) 634-8546

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1760939565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14603 MERCED ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 FULKERTH RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953809515",
            "telephone_number": "209-634-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN MAI OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "510-388-7379",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.