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STACEY MAH
NPI 1689113789
Nurse Practitioner - Family in Hawaiian Gardens, CA

Active since February 22, 2017PECOS Enrolled
22310 WARDHAM AVE, HAWAIIAN GARDENS, CA 90716(562) 928-9600 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Mah NPPES

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

STACEY MAH (NPI 1689113789) is an individual family provider in Hawaiian Gardens, California, licensed in California (95006087) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689113789
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY MAH
Location Address22310 WARDHAM AVEHawaiian Gardens, CA 90716-1740
Mailing Address6001 E Washington BlvdCommerce, CA 90040-2451 · (562) 928-9600
Phone(562) 928-9600
Sole ProprietorNo
Enumeration DateFebruary 22, 2017
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1689113789 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 · 95006087
22310 WARDHAM AVE, Hawaiian Gardens, CA 90716
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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)

Stacey Mah 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90716 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 2

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

RICHARD H OSWALD DO
Family Medicine
22310 WARDHAM AVE
HAWAIIAN GARDENS, CA 90716
Los Angeles County (562) 928-9600
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC.
Clinic/Center (Community Health)
22310 WARDHAM AVE
HAWAIIAN GARDENS, CA 90716
Los Angeles County (562) 420-2433

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 Stacey Mah's NPI number?

The NPI number for Stacey Mah is 1689113789. It was assigned to this individual provider in the NPPES registry on February 22, 2017.

Where is Stacey Mah located?

Stacey Mah practices at 22310 Wardham Ave, Hawaiian Gardens, CA 90716. The listed phone number is (562) 928-9600.

What is Stacey Mah's specialty?

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

Is Stacey Mah enrolled in Medicare?

Yes. Stacey Mah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Mah was last updated on March 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.