Darryl Mayo, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA12798 Issued in CA

Practice address

849 W 34TH St
Los Angeles, CA 90089-0079

Phone

(213) 740-9355

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801015938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 DAMASK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561726",
            "telephone_number": "323-240-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 W 34TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890079",
            "telephone_number": "213-740-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "DARRYL",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA12798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne P Maynard
• Mayne Road Recovery LLC
• Jeffrey David Mayne, M.D.
• Madison Maynes
• Adrian Mayo, M.D.
• Jocelyn R Mayo, MSW
• Lawnetta Mayo
• Levander Eugene Mayo Jr.
• Sarah Elizabeth Mayo
• Saul Mayo Jr.

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.