NPIMap

Individual provider Active NPI

Fajie Ma II

  • Physical Medicine & Rehabilitation Physician
  • Stockton, CA
National Provider Identifier
1891079455
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A129917 Issued in CA
Practice address
123 S Commerce St Ste E
Stockton, CA 95202-2837
Phone
(209) 910-9123
Fax
(209) 288-5300
NPI assigned
Sep 30, 2011
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 944736 NY
Physical Medicine & Rehabilitation Physician 208100000X A129917 CA Primary

Addresses

Primary practice location

123 S Commerce St Ste E
Stockton, CA 95202-2837

Mailing address

2629 Meadowbrook Dr
Santa Clara, CA 95051-1113
Phone (408) 636-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160118000295 CA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7911127097 Reassigns benefits to 6 organizations
Practice locations: Antioch, CA; Sacramento, CA; Stockton, CA; Walnut Creek, CA
I20220808000793 AR Practitioner - Physical Medicine and Rehabilitation 7911127097 Reassigns benefits to 1 organization
I20230113000840 CA Practitioner - Pain Management 7911127097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Clinics of Central California, Inc.Group PAC ID 0244615086, 19 clinicians

Practice addresses (Care Compare)

1130 Coffee Rd
BLDG 5B
Modesto, CA 95355-4228
Phone (833) 478-1818

1636 Higdon Ferry Rd
Hot Springs, AR 71913-6912
Phone (501) 651-2000

2323 16TH St
Suite 504
Bakersfield, CA 93301-3454
Phone (661) 395-1335

5001 Commerce Dr
Bakersfield, CA 93309-0648
Phone (661) 323-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.08 of 100Reported as individual
Quality
74.88
Improvement activities
0
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A129917CAMDPhysical Medicine & Rehabilitation Physician
944736NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Health and Rehab PC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2021 Accepting new patients
Kevin D. Trinh, MD and John L. Brazill, MD, a Medical Corp. Current Accepting new patients
Integrative Sports and Spine Inc CurrentSince Sep 14, 2020 Accepting new patients
Naturo-Medical Health Inc Physical Medicine & Rehabilitation CurrentSince Jan 14, 2022 Accepting new patients
Spine Joint Care Inc CurrentSince Oct 24, 2021 Accepting new patients
PCCC Surgery Center Inc. CurrentSince Apr 18, 2024 Accepting new patients
Pain Clinics of Central California, Inc. CurrentSince Jan 16, 2023 Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
St. Joseph's Hospital, Yonkers Past Accepting new patients
Lags Spine and Sportscare Medical Centers Inc Past Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. Physical Medicine & Rehabilitation PastSince Jun 22, 2021 Accepting new patients
St. Joseph's Medical Center Past Accepting new patients
Affinity Hospital LLC Past Accepting new patients
St. Vincent's East Past Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Past Accepting new patients

Locations

1636 Higdon Ferry Rd
Hot Springs National Park, AR 71913
Phone (501) 520-2000

2323 16th St
Ste 504
Bakersfield, CA 93301
Phone (661) 395-1335

3550 Q St
Ste 304C
Bakersfield, CA 93301
Phone (833) 906-0207

4605 Buena Vista Rd
Ste 600815
Bakersfield, CA 93311

5001 Commerce Dr
Bakersfield, CA 93309
Phone (661) 323-5500

3900 Garfield Ave
Carmichael, CA 95608
Phone (916) 481-6455

3751 E Shields Ave
Fresno, CA 93726
Phone (559) 272-1295

3793 E Shields Ave
Fresno, CA 93726
Phone (833) 478-1818

5771 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 272-1295

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 734-1101

509 S I St
Ste B
Madera, CA 93637
Phone (559) 474-8445

1130 Coffee Rd
Bldg 5
Modesto, CA 95355
Phone (209) 284-0738

1130 Coffee Rd
Bldg 5B
Modesto, CA 95355
Phone (833) 478-1818

1130 Coffee Rd
Ste 5B
Modesto, CA 95355
Phone (209) 338-7758

1317 Oakdale Rd
Ste 800
Modesto, CA 95355
Phone (209) 284-0729

3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800

123 S Commerce St
Ste E
Stockton, CA 95202
Phone (209) 901-9123

4505 Precissi Ln
Stockton, CA 95207
Phone (661) 535-2624

4505 Precissi Ln
Ste A
Stockton, CA 95207
Phone (209) 425-3815

585 Nut Tree Ct
Vacaville, CA 95687
Phone (707) 449-8000

2350 W Whitendale Ave
Visalia, CA 93277
Phone (559) 625-5286

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1891079455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 MEADOWBROOK DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950511113",
            "telephone_number": "408-636-6488",
            "fax_number": "209-288-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S COMMERCE ST STE E",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022837",
            "telephone_number": "209-910-9123",
            "fax_number": "209-288-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "FAJIE",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "944736",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A129917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.