CLARENCE NGUYEN MAI MD
NPI 1023708930
Military Health Care Provider in Jacksonville, FL

Q: What is Clarence Mai's NPI number?

The NPI number for Clarence Mai is 1023708930. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Q: What is Clarence Mai's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Q: When was this NPI record last updated?

The NPPES record for Clarence Mai was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 12, 2023PECOS Enrolled

2080 CHILD ST, FAMILY MEDICINE, JACKSONVILLE, FL 32214(408) 466-3281 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clarence Nguyen Mai Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARENCE NGUYEN MAI MD (NPI 1023708930) is an individual military health care provider provider in Jacksonville, Florida and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023708930

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameCLARENCE NGUYEN MAICredential: MD

Location Address2080 CHILD ST, FAMILY MEDICINEJacksonville, FL 32214-5000

Mailing Address2080 Child St Family Medicine DepartmentJacksonville, FL 32214-5000

Phone(408) 466-3281

Sole ProprietorNo

Enumeration DateMay 12, 2023

Last NPPES UpdateSeptember 22, 2023

NPPES CertifiedSeptember 22, 2023

✔ NPI 1023708930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

2080 CHILD ST, Jacksonville, FL 32214

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarence Nguyen Mai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN LEE UNDHEIM IDC

Military Health Care Provider (Independent Duty Corpsman)