MICHAEL T. MAI (NPI# 1124025598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124025598 |
| Entity Type | Individual |
| Full Name | MICHAEL T. MAI |
| Credential | MD |
| Practice Address |
21634 Retreat Pkwy Corona CA 92883-6100 |
| Practice Telephone | 9514936930 |
| Practice Fax Number | 9518268136 |
| Mailing Telephone | 9514936930 |
| Mailing Fax Number | 9518268136 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G57605 | CA | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
G57605 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP NPI | 1730180415 | 01 |
| CA | RAILROAD | 200040738 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 818 Magnolia Ave., Corona, CA 92879 | 9514936930 | 9512724093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154552925 | Michael D Mai | Chiropractor | 3330 Brookdale Drive Ave N, Brooklyn Park, MN 55443-2863 | 2009-07-28 |
| 1538242128 | Michael C Mai | Dentist | 17240 Downey Ave, Bellflower, CA 90706-6105 | 2006-10-24 |
| 1740286731 | Michael Mai | Emergency Medicine | 1100 Nw 95th St, Miami, FL 33150-2038 | 2005-06-23 |
| Street Address |
21634 RETREAT PKWY |
| City | CORONA |
| State | CA |
| Zip Code | 92883-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013561810 | Riverside Medical Clinic, Inc | Family Medicine | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2019-07-30 |
| 1760043426 | Rmc Surgery Center Inc | Clinic/Center | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2019-06-24 |
| 1053775684 | Alexander James Geyer | Student in an Organized Health Care Education/Training Program | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2016-04-10 |
| 1043688633 | Misbah Patel Rasool | Family Medicine | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2015-09-13 |
| 1609257435 | Poyrung Poysophon | Family Medicine | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2015-06-17 |
| 1578976270 | Iwan Nyotowidjojo | Internal Medicine | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2014-06-10 |
| 1851719512 | Samarjeet Bajwa | Psychiatry & Neurology | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2014-03-31 |
| 1164783908 | Simran Brar | Internal Medicine | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2012-06-07 |
| 1750647418 | Pejman Solaimani | Student in an Organized Health Care Education/Training Program | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2012-04-07 |
| 1063731297 | Kimberly Tustison | Obstetrics & Gynecology | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2010-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496815 | Onyinye Yvonne Johnson | Nurse Practitioner | 27223 Lasso Way, Corona, CA 92883 | 2017-09-21 |
| 1215376850 | Jennifer Carol Bard | Speech-Language Pathologist | 4194 Floyd Drive, Corona, CA 92883 | 2013-06-17 |
| 1023359619 | Richard Joon Kim | Pharmacist | 4315 Driving Range Rd, Corona, CA 92883 | 2013-03-07 |
| 1740590330 | Kim-thoa Thi Vu | Pharmacist | 2243 Eagle Glen Parkway, Corona, CA 92883 | 2010-10-15 |
| 1114232154 | Always 'tfy' Hospice, Inc. | Hospice Care, Community Based | 9064 Pulsar Court, Ste E, Corona, CA 92883 | 2010-08-14 |
| 1952553844 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 11950 Depalma Rd, Corona, CA 92883 | 2008-10-22 |
| 1497979280 | Sang C Paik Dds | Dentist | 3811 Bedford Canyon Rd, Suite 105, Corona, CA 92883 | 2007-04-12 |
| 1285615864 | Mallory Leon | Family Medicine | 25085 Pacific Crest Street, Corona, CA 92883 | 2005-11-09 |
| 1326038993 | Chan Woo Lee | Optometrist | 2790 Cabot Drive, Suite 135, Corona, CA 92883 | 2005-10-25 |
| 1659575736 | Optique Optometry, A Professional Corporation | Optometrist | 2790 Cabot Drive, Suite 135, Corona, CA 92883 | 2007-06-13 |
| Find all providers in zip 92883 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770851339 | Robert Leland Horner Sr. | Orthopaedic Surgery | 3981 Holly Springs Dr, Corona, CA 92881-8215 | 2011-12-09 |
| 1598872657 | Corona Orthopaedic Associates Medical Group Incorporated | Orthopaedic Surgery | 341 Magnolia Avenue, Suite 101, Corona, CA 92879-3331 | 2006-08-24 |
| 1164483699 | Vicente R Bernabe | Orthopaedic Surgery | 1191 Magnolia Ave, Ste D-152, Corona, CA 92879-3215 | 2006-04-02 |
| 1578532545 | Paul Richard Reiman | Orthopaedic Surgery | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2006-03-14 |
| 1730523945 | Nasser Heyrani | Orthopaedic Surgery | 341 Magnolia Ave Ste 101, Corona, CA 92879-3331 | 2013-04-18 |
| 1386941219 | Reza Roghani | Orthopaedic Surgery | 341 Magnolia Ave Ste 101, Corona, CA 92879-3331 | 2011-02-10 |
| 1467520189 | John Stephen Locke | Orthopaedic Surgery | 341 Magnolia Ave, Ste 101, Corona, CA 92879-3330 | 2006-12-01 |
| 1295837342 | Richard Leino Rouhe | Orthopaedic Surgery | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2006-09-01 |
| 1629089073 | Ghassan Said Tooma | Orthopaedic Surgery | 341 Magnolia Ave, Ste 101, Corona, CA 92879-3331 | 2006-08-11 |
| 1851302202 | George Carleton Wallace | Orthopaedic Surgery | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2006-08-11 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.