Heather Kimberly Mak, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A153551 Issued in CA

Practice address

2602 1St Ave Ste 100
San Diego, CA 92103-6529

Phone

(619) 234-2158

NPI assigned

Jun 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MD, DC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Psychiatry

Education

Rutgers, Robert Woood Johnson Medical School, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians

Eagan Medical Group IncGroup PAC ID 6608136056, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
• Saint John's Health Center Hospital, Santa Monica, CA, CCN 050290

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance for Wellness, Inc.

  • Psychiatry Physician
  • Inglewood, CA
  • NPI 1124329131
  Medicare reassignment Care Compare group NPD
• Eagan Medical Group, Inc.

  dba Anew Era TMS & Psychiatry CA

  • Psychiatry Physician
  • Huntington Beach, CA
  • NPI 1265946289
  Medicare reassignment Care Compare group NPD
• San Diego American Indian Health Center

  dba San Diego Community Health Center

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
  • NPI 1003902917

  Psychiatry

  Medicare reassignment NPD
• Axis Healthcare Group

  dba CareMind Health

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1326295098

  DC

  Medicare reassignment NPD
• Tamika Henry MD Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1770381436
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba St. John's Regional Medical Center

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  Care Compare affiliation
• Providence Saint John's Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  Care Compare affiliation

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1033430863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARKET ST",
            "address_2": "UNIT 419",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 1ST AVE STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036529",
            "telephone_number": "619-234-2158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg H 2005 Knight Lane",
            "address_2": "Navy Medicine Support Command Attn Medical Staff Servic",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322120140",
            "country_code": "US",
            "telephone_number": "619-532-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAK",
        "first_name": "HEATHER",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A153551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nicole Majka
• Annika Major
• Joshua W Major, MD
• Katherine A Major, RN
• Robert Alan Major
• Judy Yin Ping Mak, PT
• Robert Hon Kwong Mak, MD
• Sin Yi Mak, MS, OTR/L
• Taryn Alissa Mak, RBT
• Makadia DDS Corp

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.