Individual provider Active NPI

Mai Menes, NP

  • Acute Care Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1902548100
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95020303 Issued in CA
Practice address
3172 Senasac Ave
Long Beach, CA 90808-3821
Phone
(562) 810-8101
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95020303 CA Primary

Addresses

Primary practice location

3172 Senasac Ave
Long Beach, CA 90808-3821

Mailing address

3172 Senasac Ave
Long Beach, CA 90808-3821
Phone (562) 810-8101

Other practice location 1

510 N Prospect Ave Ste 115
Redondo Beach, CA 90277-3057
Phone (310) 602-5002

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605001519 CA Order and Referring Only - Nurse Practitioner 8325519838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95020303CAMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mai.menes.1@30710.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1902548100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 SENASAC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083821",
            "telephone_number": "562-810-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3172 SENASAC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083821",
            "telephone_number": "562-810-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 N Prospect Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902773057",
            "country_code": "US",
            "telephone_number": "310-602-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENES",
        "first_name": "MAI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95020303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.