Maya B Bidichandani-Kaura, MD
Individual provider Active NPI Nephrology Physician · Dana Point, CA
NPI 1992803167 · NPPES record last updated Dec 14, 2011
Key facts
- NPI
- 1992803167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- C41651 (CA)
- Practice address
- 24865 Del Prado
Dana Point, CA 92629 - Phone
- (949) 248-5884
- Fax
- (949) 248-5886
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24953 Paseo de Valencia
Suite 22a
Laguna Hills, CA 92653-4343
Phone (949) 770-7333
Hospital & facility affiliations
- Providence at Home With Compassus Home Health Orange County
- California'S Best Hospice Services, Inc
- Memorialcare Saddleback Medical Center
- Providence Mission Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090204000034 | CA | Practitioner - Internal Medicine |
4284798315 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C41651 | CA | MD | Nephrology Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C41651 | CA | |
| Nephrology Physician | 207RN0300X | C41651 | CA | Yes |
Addresses
Primary practice location
24865 Del Prado
Dana Point, CA 92629
Mailing address
24865 Del Prado
Dana Point, CA 92629
Phone (949) 248-5884
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ47948Z | Other | CA | BLUE SHIELD |
| W13226J | Other | CA | MEDICARE GROUP NUMBER |
| C41651 | Other | CA | LICENSE |
Other providers in Dana Point, CA
- Betita Baker Dental Partnership
- Timothy Alan Betita
- Betterbio Synthesis
- Bewell Orange County LLC
- Alisa Marie Beyer
- Wade Mattson Binley
- Blackwelder Chiropractic, Inc.
- Clyde Spencer Blackwelder
- Lorilee Bohn
- Carey Jamison Bornhagen
All providers in Dana Point, CA · Nephrology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.