Individual provider Active NPI

Mai Gu, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Corona, CA
National Provider Identifier
1821048257
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A68810 Issued in CA
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

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000517 CA Practitioner - Pathology 5991752982 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pathcare Diagnostics Inc. CurrentSince Sep 24, 1984 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.

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

Verify at the official NPI Registry.