Active NPI
Mai Gu, MD
- Anatomic Pathology & Clinical Pathology Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A68810
- Practice address
- 1810 Fullerton Ave Ste 102
Corona, CA 92881-3109 - Phone
- (951) 808-8863
- Fax
- (951) 808-0550
- NPI assigned
- May 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A68810 | CA | Primary |
Addresses
Primary practice location
1810 Fullerton Ave Ste 102
Corona, CA 92881-3109
Mailing address
1810 Fullerton Ave Ste 102
Corona, CA 92881-3109
Phone (951) 808-8863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17451 Bastanchury Rd
104C
Yorba Linda, CA 92886-1872
Phone (951) 808-8863
Merit-based Incentive Payment System (MIPS)
- Final score
- 52.09 of 100
- Quality
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathcare Diagnostics Inc. | Current | Accepting new patients | |
| Regents of the University of California | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| University of California Irvine | Past | Accepting new patients |
Locations
1810 Fullerton Ave
Ste 102
Corona, CA 92881
Phone (951) 808-8863
41667 Ivy St
Ste G
Murrieta, CA 92562
Phone (951) 808-8863
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
41900 Winchester Rd
Ste 100
Temecula, CA 92590
Phone (951) 676-2923
17451 Bastanchury Rd
Ste 104C
Yorba Linda, CA 92886
Phone (951) 808-8863
17451 Bastanchury Rd
Ste 1
Yorba Linda, CA 92886
Phone (951) 808-8863
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Corona, CA
- NPI 1467637942
-
- Anatomic Pathology & Clinical Pathology Physician
- Orange, CA
- NPI 1558311811
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1821048257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 FULLERTON AVE STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928813109",
"telephone_number": "951-808-8863",
"fax_number": "951-808-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 FULLERTON AVE STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928813109",
"telephone_number": "951-808-8863",
"fax_number": "951-808-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GU",
"first_name": "MAI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A68810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.