Active NPI
Alfred C. Ma, M.D.
- Anesthesiology Physician
- Moreno Valley, CA
National Provider Identifier
1932179330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A40866
- Practice address
- 26520 Cactus Ave
Room #F2027
Moreno Valley, CA 92555 - Phone
- (951) 486-4574
- Fax
- (951) 486-4560
- NPI assigned
- Jan 26, 2006
- Last updated
- Jun 5, 2018
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A40866 | CA | Primary |
Addresses
Primary practice location
26520 Cactus Ave
Room #F2027
Moreno Valley, CA 92555
Mailing address
4347 Portage St NW Ste 102
North Canton, OH 44720-7371
Phone (800) 527-0336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A408660 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40866 | CA | MD | Anesthesiology Physician |
Interoperability endpoints
- ama100988@direct.llu.edu
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Moreno Valley, CA
- NPI 1407992969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1932179330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4347 PORTAGE ST NW STE 102",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207371",
"telephone_number": "800-527-0336",
"fax_number": "330-415-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26520 CACTUS AVE",
"address_2": "ROOM #F2027",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "92555",
"telephone_number": "951-486-4574",
"fax_number": "951-486-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "ALFRED",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A40866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A408660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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- Macaria Padilla
- Ryan Macavinta, FNP
- Macgrace LLC
- Larry Machmud, P.T.
- Ana Macias
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.