| Thinh Duy Mai M.d., A.p.c. | |
|
175 N Jackson Ave Suite 209 San Jose CA 95116-1909 | |
| (408) 210-0304 | |
| Not Available |
| Full Name | Thinh Duy Mai M.d., A.p.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 175 N Jackson Ave, San Jose, California |
| Authorized Official Name and Position | Thinh Duy Mai (CEO) |
| Authorized Official Contact | 9163203991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thinh Duy Mai M.d., A.p.c. 175 N Jackson Ave Suite 209 San Jose CA 95116-1909 Ph: () - | Thinh Duy Mai M.d., A.p.c. 175 N Jackson Ave Suite 209 San Jose CA 95116-1909 Ph: (408) 210-0304 |
| NPI Number | 1770905945 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Medicare PECOS PAC ID | 5698093581 |
|---|---|
| Medicare Enrollment ID | O20150403000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770905945 | NPI | - | NPPES |
| 1558505750 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A107289 (California) | Primary |
| Provider Name | Laura G Slippy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831195924 PECOS PAC ID: 0547214983 Enrollment ID: I20050308001125 |
| Provider Name | Thinh D Mai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558505750 PECOS PAC ID: 3072837327 Enrollment ID: I20150115001706 |
| Provider Name | Kenneth R Wulff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124105085 PECOS PAC ID: 5395048813 Enrollment ID: I20160115001887 |
| Provider Name | Kerstin J Helgason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538369939 PECOS PAC ID: 3173610631 Enrollment ID: I20180118002159 |
| Provider Name | Brandon Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831979863 PECOS PAC ID: 5092155366 Enrollment ID: I20240503000454 |
| Provider Name | Anu C Perumattam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306286661 PECOS PAC ID: 2860832003 Enrollment ID: I20240503003284 |
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