NPIMap

Individual provider Active NPI

Kevin Mai, DO

  • Family Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1952890113
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17954 Issued in CA
Practice address
16111 Beach Blvd Ste A1
Huntington Beach, CA 92647-3804
Phone
(714) 596-0368
NPI assigned
May 3, 2018
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A17954 CA Primary

Addresses

Primary practice location

16111 Beach Blvd Ste A1
Huntington Beach, CA 92647-3804

Mailing address

16111 Beach Blvd Ste A1
Huntington Beach, CA 92647-3804
Phone (714) 596-0368

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200210002859 CA Practitioner - Family Practice 1052747086 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Group of Montebello IncGroup PAC ID 2264715143, 55 clinicians
Im-FSR IncGroup PAC ID 6901035138, 28 clinicians

Practice addresses (Care Compare)

1701 Santa Anita Ave
S El Monte, CA 91733-3411
Phone (626) 579-7777

800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17954CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Im-FSR Inc. CurrentSince Jun 1, 2025 Accepting new patients
Sunrise Medical Associates Inc CurrentSince May 5, 2024 Accepting new patients
Hospitalist Group of Montebello Inc CurrentSince Jul 31, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Nov 1, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Nov 1, 2023 Accepting new patients
Egb Holdings Family Medicine PastSince Oct 18, 2022 Accepting new patients

Locations

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Advantage Health SystemsCosta Mesa, CA, CCN 921732 Hospice Contracted Managing Employee Oct 18, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Egb Holdings

    dba Advantage Health Systems

    • Community Based Hospice Care Agency
    • Costa Mesa, CA
    • NPI 1871942029

    Contracted Managing Employee

    CMS ownership

Organizations & group practices 6

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 8

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1952890113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 BEACH BLVD STE A1",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473804",
            "telephone_number": "714-596-0368",
            "fax_number": "714-591-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 BEACH BLVD STE A1",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473804",
            "telephone_number": "714-596-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "KEVIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.