Individual provider Active NPI

Mai Brooks, MD

  • Surgical Oncology Physician
  • Thousand Oaks, CA
National Provider Identifier
1952315640
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
G81443 Issued in CA
Practice address
2190 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1980
Phone
(805) 379-4677
Fax
(805) 495-1829
NPI assigned
Jul 28, 2006
Last updated
Nov 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X G81443 CA Primary

Addresses

Primary practice location

2190 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1980

Mailing address

2190 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-1980
Phone (805) 379-4677

Other identifiers 1

IdentifierTypeStateIssuer
00G814430MedicaidCA

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
I20081202000190 CA Practitioner - General SurgeryPractitioner - Surgical Oncology 4284795832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Harvard Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2190 Lynn Rd
Suite 200
Thousand Oaks, CA 91360-8020
Phone (805) 379-4677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.78 of 100Reported as individual
Quality
43.34
Improvement activities
0
Cost
71.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy128
Melanoma (skin cancer) excision130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81443CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mai Brooks MD a Medical Corporation Surgical Oncology CurrentSince Dec 1, 2008 Accepting new patients
The Regents of the University of California Surgical Oncology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

2190 Lynn Rd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 372-8500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1952315640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601980",
            "telephone_number": "805-379-4677",
            "fax_number": "805-495-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601980",
            "telephone_number": "805-379-4677",
            "fax_number": "805-495-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G81443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G814430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.