Man-Siak Mak, M.D., Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A26785 Issued in CA

Legal business name

MAN-SIAK MAK, M.D., INC.

Practice address

3313 M St
Merced, CA 95348-2714

Phone

(209) 722-1565

Fax

(209) 722-1567

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Man-Siak Mak, M. D.

Title

President

Phone

(209) 722-1565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1114115904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2793",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440793",
            "telephone_number": "209-722-1565",
            "fax_number": "209-722-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482714",
            "telephone_number": "209-722-1565",
            "fax_number": "209-722-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN-SIAK MAK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "MAN-SIAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-722-1565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A26785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A267850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Frances Mallol
• Samantha Nicole Mallory
• Joseph John Malloy III
• Conor Maloney
• Al Liandro Mamaril, DO
• Yoeli Angelita Mancilla Becerra, N/A
• Yoeli Mancilla
• Pablo Mandujano
• Satara Marie Maness
• Umengsinh Gamelsinh Mangrola, PA

• Gastroenterology Physician in Merced, CA
• Providers in Merced, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.