NGOC NICK THANH MAI NPI 1174377295

NPI Information

  • NPI: 1174377295
  • Provider Name: NGOC NICK THANH MAI
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 2152 S JETTY DR
    ANAHEIM, CA
    ZIP 92802
  • Phone: (714) 699-9270

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NPI Details

Ngoc Nick Thanh Mai is an assisted living facility in Anaheim, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Ngoc Nick Thanh Mai NPI is 1174377295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2152 S JETTY DR
ANAHEIM, CA
ZIP 92802-915
Phone: (714) 699-9270

The enumeration date for this NPI number is 4/15/2024 and was last updated on 4/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171R00000XInterpreterNo
2171WH0202XContractorHome ModificationsNo
3172A00000XDriverNo
41744G0900XSpecialistGraphics DesignerNo
5251E00000XHome HealthNo
6251G00000XHospice Care, Community BasedNo
7251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationNo
8251V00000XVoluntary or CharitableNo
9385H00000XRespite CareNo
10310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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