NPIMap

Organization Active NPI

Thinh Duy Mai M.D., a.P.C.

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1770905945
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A107289 Issued in CA
Legal business name
THINH DUY MAI M.D., A.P.C.
Practice address
175 N Jackson Ave
Suite 209
San Jose, CA 95116-1909
Phone
(408) 210-0304
NPI assigned
Jan 7, 2014
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Thinh Duy Mai, M.D.NPI 1558505750
Title
Ceo
Phone
(916) 320-3991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X A107289 CA Primary

Addresses

Primary practice location

175 N Jackson Ave
Suite 209
San Jose, CA 95116-1909

Mailing address

175 N Jackson Ave
Suite 209
San Jose, CA 95116-1909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150403000623 CA Part B Supplier - Clinic/Group Practice 5698093581 Receives reassigned benefits from 7 practitioners
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

61 Victory Ln
#A
Los Gatos, CA 95030
Phone (408) 363-6533

841 Blossom Hill Rd
Ste 209
San Jose, CA 95123
Phone (408) 363-6533

Practitioners & affiliated clinicians

Practitioners 12

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": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1770905945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "SUITE 209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "SUITE 209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-210-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THINH DUY MAI M.D., A.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "THINH",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-320-3991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A107289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.