Active NPI
Thinh Duy Mai M.D., a.P.C.
- Psychiatry Physician
- San Jose, CA
National Provider Identifier
1770905945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A107289
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558505750 | Other | CA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
61 Victory Ln
#A
Los Gatos, CA 95030
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Gilroy, CA
- NPI 1538369939
CA
-
- Clinical Psychologist
- Long Beach, CA
- NPI 1992972624
-
- Child & Adolescent Psychiatry Physician
- San Jose, CA
- NPI 1821209594
Psychiatry
-
- Family Nurse Practitioner
- Oakland, CA
- NPI 1063783066
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1558505750",
"state": "CA"
}
],
"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.