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PETER VIET-QUOC MAI MD
NPI 1255953774
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since May 07, 2020PECOS Enrolled
1400 FLORIDA AVE STE 102, MODESTO, CA 95350(714) 623-4459 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter Viet-quoc Mai Md NPPES

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

PETER VIET-QUOC MAI MD (NPI 1255953774) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255953774
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER VIET-QUOC MAICredential: MD
Location Address1400 FLORIDA AVE STE 102Modesto, CA 95350-4446
Mailing Address1400 Florida Ave Ste 102Modesto, CA 95350-4446 · (714) 623-4459
Phone(714) 623-4459
Sole ProprietorNo
Enumeration DateMay 7, 2020
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1255953774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1400 FLORIDA AVE STE 102, Modesto, CA 95350
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Other Names 1

Former Name (1)Peter Viet-quoc Nguyen Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Viet-quoc 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.

ELAINE H WONG MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
RAJESH SUPRA
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
ANDERS E GRANT MD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 722-4842
VENUS SHABGAHI MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
MR. ALEXIS PAUL ISAEV DO
Clinic/Center (Research)
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
TAJINDER SINGH DO
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
CARMEN CASTILLO MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
SARAH BAKTVAR
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147

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 Peter Mai's NPI number?

The NPI number for Peter Mai is 1255953774. It was assigned to this individual provider in the NPPES registry on May 7, 2020. The provider is also known as Peter Viet-Quoc Nguyen MD.

Where is Peter Mai located?

Peter Mai practices at 1400 Florida Ave Ste 102, Modesto, CA 95350. The listed phone number is (714) 623-4459.

What is Peter Mai's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Peter Mai enrolled in Medicare?

Yes. Peter Mai is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Mai was last updated on October 30, 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.