DR. JIA MAO MD
NPI 1386959062
Psychiatry & Neurology - Psychiatry in San Dimas, CA

Q: What is Jia Mao's NPI number?

The NPI number for Jia Mao is 1386959062. It was assigned to this individual provider in the NPPES registry on August 18, 2010.

Q: What is Jia Mao's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Jia Mao enrolled in Medicare?

No. Jia Mao has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jia Mao was last updated on September 8, 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.

Active since August 18, 2010Opted out of Medicare · through Feb 13, 2028

540 E FOOTHILL BLVD STE 100H, SAN DIMAS, CA 91773(626) 466-6628 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2025, Jun 15, 2021 (2 updates tracked since 2021).

On this page

About Dr. Jia Mao Md NPPES

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

DR. JIA MAO MD (NPI 1386959062) is an individual psychiatry provider in San Dimas, California, licensed in California (A117957) and active in the NPI registry since August 2010. She has opted out of Medicare through February 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386959062

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JIA MAOCredential: MD

Location Address540 E FOOTHILL BLVD STE 100HSan Dimas, CA 91773-1251

Mailing Address2105 Foothill Blvd Ste B271La Verne, CA 91750-2901

Phone(626) 466-6628

Sole ProprietorYes

Enumeration DateAugust 18, 2010

Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1386959062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A117957

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

540 E FOOTHILL BLVD STE 100H, San Dimas, CA 91773

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jia Mao Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2026 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2026

Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91773 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

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.

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 Jia Mao's NPI number?

The NPI number for Jia Mao is 1386959062. It was assigned to this individual provider in the NPPES registry on August 18, 2010.

Where is Jia Mao located?

Jia Mao practices at 540 E Foothill Blvd Ste 100H, San Dimas, CA 91773. The listed phone number is (626) 466-6628.

What is Jia Mao's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jia Mao enrolled in Medicare?

No. Jia Mao has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jia Mao was last updated on September 8, 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.