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KATHY MAO O.D.
NPI 1053830158
Optometrist in Santa Ana, CA

Active since September 11, 2017PECOS EnrolledAccepts Medicare Assignment
1206 E 17TH ST STE 101, SANTA ANA, CA 92701(714) 352-2911(714) 352-2903 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathy Mao O.d. NPPES

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

KATHY MAO O.D. (NPI 1053830158) is an individual optometrist in Santa Ana, California, licensed in California (OPT33828-TLG) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053830158
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKATHY MAOCredential: O.D.
Location Address1206 E 17TH ST STE 101Santa Ana, CA 92701-2641
Mailing Address1206 E 17th St Ste 101Santa Ana, CA 92701-2641 · (714) 352-2911 · Fax (714) 352-2903
Phone(714) 352-2911
Fax(714) 352-2903
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 11, 2017
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1053830158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · OPT33828-TLG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1206 E 17TH ST STE 101, Santa Ana, CA 92701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathy Mao O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638430101
PECOS Enrollment IDI20180223001709
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. GARIMA SHUKLA DMD
Dentist (General Practice)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
MRS. JUDY RAMIREZ-CAMPUZANO LCSW
Social Worker (Clinical)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
DR. MAURICIO ALBERTO CARDENAS DDS
Dentist
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
KEVIN VALDEZ FNP
Nurse Practitioner (Family)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
MARCUS VINCENT OCHOA
Dentist
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
DR. NEAL EDWARD SCHWARTZ D.O.
Family Medicine (Adult Medicine)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
DR. ATHENA THERESA ALEXANDER M.D.
Internal Medicine
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
LAWRENCE JOSEPH SIEVE III O.D.
Optometrist
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Mao's NPI number?

The NPI number for Kathy Mao is 1053830158. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Kathy Mao located?

Kathy Mao practices at 1206 E 17th St Ste 101, Santa Ana, CA 92701. The listed phone number is (714) 352-2911.

What is Kathy Mao's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kathy Mao enrolled in Medicare?

Yes. Kathy Mao is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathy Mao accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Kathy Mao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathy Mao was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.