Team Makena LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20288413 Issued in AZ

Legal business name

TEAM MAKENA LLC

Practice address

3702 E Roeser Rd
4
Phoenix, AZ 85040-9046

Phone

(949) 474-1753

Fax

(949) 251-5120

NPI assigned

Apr 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Luis Serrano

Title

Operations Manager

Phone

(800) 996-4001

Specialties & licenses 2

Addresses

Other names 1

• Restore Motion Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Team Makena LLC

  • Durable Medical Equipment & Medical Supplies
  • Costa Mesa, CA
  • NPI 1548457278

  8628274545

  Same PAC ID
• Team Makena LLC

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
  • NPI 1558896407

  8628274545

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Team Makena LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Team Makena LLC

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1255842092
  NPD tax ID
• Team Makena LLC

  • Durable Medical Equipment & Medical Supplies
  • Costa Mesa, CA
  • NPI 1548457278
  NPD tax ID
• Team Makena LLC

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
  • NPI 1558896407
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Synergy Medical Systems, Inc.

  • Prosthetic/Orthotic Supplier
  • Florence, OR
  • NPI 1396851754

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1003341959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27051 TOWNE CENTRE DRIVE",
            "address_2": "180",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102819",
            "telephone_number": "949-474-1753",
            "fax_number": "949-251-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 E ROESER RD",
            "address_2": "4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850409046",
            "telephone_number": "949-474-1753",
            "fax_number": "949-251-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM MAKENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "800-996-4001"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20288413",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Motion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• TDM Medical Staffing Agency PLLC
• Tea Surgical Services LLC
• Patricia A Teaford, MD
• Team Chiromed, Inc.
• Team Kids Dental PLLC
• Team Motion X-Ray LLC
• Team PBS
• Arlene Teasyatwho, RN
• Shauna Lee Tebon, PA-C
• Tarannom Tebyanian

• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.