Active NPI
Heidi Makeig
- Audiologist
- East Palo Alto, CA
National Provider Identifier
1295969335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 2100
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU 2100 | Other | CA | STATE AUDIOLOGY LICENSE |
| HA 2783 | Other | CA | HEARING AID DISPENSER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AU 2100 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of the Pacific | Audiologist | Current | Accepting new patients |
| University of the Pacific | Current | 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.
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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.