Active NPI
John Edward Maki, M.D.
- Surgery Physician
- San Francisco, CA
National Provider Identifier
1124046743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A25520
- Practice address
- 490 Post St
Suite #1404
San Francisco, CA 94102-1401 - Phone
- (415) 434-0185
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A25520 | CA | Primary |
Addresses
Primary practice location
490 Post St
Suite #1404
San Francisco, CA 94102-1401
Mailing address
490 Post St
#1404
San Francisco, CA 94102-1401
Phone (415) 434-0185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A255200 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25520 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124046743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 POST ST",
"address_2": "#1404",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941021401",
"telephone_number": "415-434-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 POST ST",
"address_2": "SUITE #1404",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941021401",
"telephone_number": "415-434-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKI",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A25520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A255200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.