Individual provider Active NPI

Heidi Makeig

  • Audiologist
  • East Palo Alto, CA
National Provider Identifier
1295969335
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU 2100 Issued in CA
Practice address
1900 University Ave
Suite # 101
East Palo Alto, CA 94303-2212
Phone
(650) 462-3137
Fax
(650) 433-5448
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU 2100 CA Primary

Addresses

Primary practice location

1900 University Ave
Suite # 101
East Palo Alto, CA 94303-2212

Mailing address

1900 University Ave
Suite # 101
East Palo Alto, CA 94303-2212
Phone (650) 462-3137

Other identifiers 2

IdentifierTypeStateIssuer
AU 2100OtherCASTATE AUDIOLOGY LICENSE
HA 2783OtherCAHEARING AID DISPENSER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220111002689 CA Practitioner - Qualified Audiologist 6800288432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of the Pacific 10 clinicians

Practice addresses (Care Compare)

155 5TH St
Suite 250
San Francisco, CA 94103-2919
Phone (415) 780-2001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU 2100CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Pacific Audiologist CurrentSince Oct 5, 2021 Accepting new patients
University of the Pacific CurrentSince Oct 5, 2021 Accepting new patients
University of the Pacific Current Accepting new patients

Locations

155 5th St
Ste 250
San Francisco, CA 94103
Phone (415) 780-2001

3601 Pacific Ave
Univ of the Pacific, CA 95211
Phone (209) 946-2132

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1295969335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 UNIVERSITY AVE",
            "address_2": "SUITE # 101",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032212",
            "telephone_number": "650-462-3137",
            "fax_number": "650-433-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 UNIVERSITY AVE",
            "address_2": "SUITE # 101",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032212",
            "telephone_number": "650-462-3137",
            "fax_number": "650-433-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKEIG",
        "first_name": "HEIDI",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU 2100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE AUDIOLOGY LICENSE",
            "identifier": "AU 2100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSER",
            "identifier": "HA 2783",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.