Active NPI
Ronald Mah, M.A.
- Mental Health Counselor
- San Leandro, CA
National Provider Identifier
1821022591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC32136
- Practice address
- 433 Estudillo Ave Ste 305
San Leandro, CA 94577-4915 - Phone
- (510) 614-5641
- Fax
- (510) 889-6553
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC32136 | CA | Primary |
Addresses
Primary practice location
433 Estudillo Ave Ste 305
San Leandro, CA 94577-4915
Mailing address
18937 Brickell Way
Castro Valley, CA 94546-2411
Phone (510) 614-5641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8166 | Other | CA | ACBHCS, ALAMEDA COUNTY BE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 17, 2024 through Apr 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC32136 | CA | MD | Mental Health Counselor |
| 32136 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184457600000",
"number": "1821022591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18937 BRICKELL WAY",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945462411",
"telephone_number": "510-614-5641",
"fax_number": "510-889-6553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 ESTUDILLO AVE STE 305",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774915",
"telephone_number": "510-614-5641",
"fax_number": "510-889-6553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAH",
"first_name": "RONALD",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC32136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACBHCS, ALAMEDA COUNTY BE",
"identifier": "8166",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.