KHANH NGOC PHUONG MAI
NPI 1659869188
Nurse Practitioner - Family in Anaheim, CA

Q: What is Khanh Mai's NPI number?

The NPI number for Khanh Mai is 1659869188. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Q: What is Khanh Mai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Khanh Mai was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 30, 2018PECOS Enrolled

9918 KATELLA AVE STE A-C, ANAHEIM, CA 92804(800) 597-7977(714) 644-9894 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 4, 2026, Apr 30, 2018 (2 updates tracked since 2018).

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About Khanh Ngoc Phuong Mai NPPES

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

KHANH NGOC PHUONG MAI (NPI 1659869188) is an individual family provider in Anaheim, California, licensed in California (95008602) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659869188

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKHANH NGOC PHUONG MAI

Location Address9918 KATELLA AVE STE A-CAnaheim, CA 92804-6465

Mailing Address661 W 1st St Ste GTustin, CA 92780-2939 · (714) 665-9890 · Fax (714) 665-9891

Phone(800) 597-7977

Fax(714) 644-9894

Sole ProprietorNo

Enumeration DateApril 30, 2018

Last NPPES UpdateJune 4, 20262 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1659869188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95008602

9918 KATELLA AVE STE A-C, Anaheim, CA 92804

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Secondary Practice Locations 2

Location 111180 Warner Ave Ste 353Fountain Valley, CA 92708-4098 · Phone (800) 597-7977 · Fax (714) 202-2626

Location 2661 W 1st St Ste GTustin, CA 92780-2939 · Phone (800) 597-7977 · Fax (714) 644-9891

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khanh Ngoc Phuong Mai 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.

Medicare Billing Reassignments

Medicare enrollment records show Khanh Mai reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Families Together Of Orange County

8.4 mi

Clinic/Center

661 W 1ST ST, STE. G
Tustin, CA 92780

Reassigned Medicare billing, California enrollment
86 clinicians in this Medicare group

NPI 1194122457 (714) 665-9890

Prode P. Pascual, M.D., Inc.

8.8 mi

Primary Care

18331 GRIDLEY RD, SUITE C
Cerritos, CA 90703

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Prode P Pascual MD Inc
3 clinicians in this Medicare group

NPI 1649646209 (562) 865-0213

Complete Care Community Health Center, Inc

16 mi

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

5831 FIRESTONE BLVD STE E
South Gate, CA 90280

Reassigned Medicare billing, California enrollment
88 clinicians in this Medicare group

NPI 1811397888 (562) 806-7545

Mission City Community Network, Inc.

24 mi

Primary Care

513 E LIME AVE, SUITE 103
Monrovia, CA 91016

Reassigned Medicare billing, California enrollment
146 clinicians in this Medicare group

NPI 1063795250 (818) 895-3100

Foothills Psychological Services, Inc.

27 mi

Psychologist

954 W FOOTHILL BLVD STE A
Upland, CA 91786

Reassigned Medicare billing, California enrollment
76 clinicians in this Medicare group

NPI 1336121888 (909) 946-4222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92804 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

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 3

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

KATHERINE LILLY BOYD-CORDOVA PA-C

Physician Assistant (Surgical)

9918 KATELLA AVE STE A-C
ANAHEIM, CA 92804

Orange County (714) 644-9494

NATALIE BLAND NP

Nurse Practitioner (Family)

9918 KATELLA AVE STE A-C
ANAHEIM, CA 92804

Orange County (714) 644-9494

FAMILIES TOGETHER OF ORANGE COUNTY

Clinic/Center (Federally Qualified Health Center (FQHC))

9918 KATELLA AVE STE A-C
ANAHEIM, CA 92804

Orange County (714) 658-3000

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 Khanh Mai's NPI number?

The NPI number for Khanh Mai is 1659869188. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Khanh Mai located?

Khanh Mai practices at 9918 Katella Ave Ste A-C, Anaheim, CA 92804. The listed phone number is (800) 597-7977.

What is Khanh Mai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Khanh Mai enrolled in Medicare?

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

Which organizations bill Medicare for Khanh Mai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khanh Mai reassigns Medicare benefits to 5 organizations: Families Together Of Orange County (Tustin, CA), Prode P. Pascual, M.D., Inc. (Cerritos, CA), Complete Care Community Health Center, Inc (South Gate, CA), Mission City Community Network, Inc. (Monrovia, CA) and Foothills Psychological Services, Inc. (Upland, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khanh Mai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Khanh Mai was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.