Jeorge T Makinose

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5260 Issued in CA

Practice address

44567 15TH St W
Lancaster, CA 93534-2803

Phone

(661) 949-5524

NPI assigned

Jan 31, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1033825237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972224628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44567 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342803",
            "telephone_number": "661-949-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKINOSE",
        "first_name": "JEORGE",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "5260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Nicole Mahotz
• Lanh Mai, DDS
• Main Street Medical Supply LLC
• Main Street Medical Supply LLC,
• Miranda Maisler, NP-C
• Luz Clarita Malagon Cisneros
• Ana E. Maldonado
• Jessica Maldonado
• Jose Maldonado
• Karen V Maldonado

• Occupational Therapy Assistant in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.