Eve Serena Valerie Makdisi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37882 Issued in CA

Practice address

3872 Shafter Ave Apt a
Oakland, CA 94609-2629

Phone

(707) 704-4137

NPI assigned

Nov 29, 2011

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

Other names 1

• Eve Archer Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1124395512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 SHAFTER AVE APT A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092629",
            "telephone_number": "707-704-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3872 SHAFTER AVE APT A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092629",
            "telephone_number": "707-704-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKDISI",
        "first_name": "EVE",
        "middle_name": "SERENA VALERIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVE",
            "last_name": "ARCHER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ananya Majumdar, MD
• Inakkhi Majumder
• Ray Mak
• Kristinalisa Maka
• Sakirat Makanjuola
• Akinwunmi Kolade Makinde, DPT
• Jerusalem Makonnen, RN,MSN,FNP
• Andrea Makunje, MFT
• Yvette M Malamud Ozer, PHD
• Jennifer Tania Malarek, CRNA

• Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.