Mayer MD Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G69356 Issued in CA

Legal business name

MAYER MD INC.

Practice address

2568 Clarendon Ave
Huntington Park, CA 90255-4073

Phone

(323) 582-5444

Fax

(323) 584-6992

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mayer Mayer, M.D.

Title

Owner

Phone

(323) 525-2500

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• DR. MAYER'S WOMEN'S AND CHILDREN Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mayer MD Inc.

  • Family Medicine Physician
  • Huntington Park, CA
  • NPI 1194866525

  O20140509000356

  Same enrollment

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1992845663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 CLARENDON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554073",
            "telephone_number": "323-582-5444",
            "fax_number": "323-584-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 CLARENDON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554073",
            "telephone_number": "323-582-5444",
            "fax_number": "323-584-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYER MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-525-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G69356",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G69356",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G69356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHDP",
            "identifier": "G69356",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "GR0095860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. MAYER'S WOMEN'S AND CHILDREN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DR. MAYER'S WOMEN'S AND CHILDREN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Massoud Amini M.D. Inc.
• Massoud Amini, M.D. Inc.
• Amelia Mata
• Julany Arely Matu, HCC LVN
• Mayer MD Inc.
• Mayer Mayer, M.D.
• William Michael Mayo, DPM
• Ellen Mazin
• Roxanna McCabe
• Reginald McClain

• Obstetrics & Gynecology Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.