Reynaldo L. Makabali MD, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A51157 Issued in CA

Legal business name

REYNALDO L. MAKABALI MD, INC.

Practice address

2426 W 8TH St Ste 104
Los Angeles, CA 90057-3840

Phone

(213) 389-9595

Fax

(213) 389-2556

NPI assigned

Aug 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Reynaldo Limpin Makabali, MDNPI 1598757577

Title

President

Phone

(213) 389-9595

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Clinica Los Remedios Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clinica Los Remedios Medical Group

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1174764351
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reynaldo Limpin Makabali, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1598757577
  Medicare reassignment Authorized official
• Lara Trinidad Manese, NP

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1164905873
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1306079181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 W 8TH ST STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573840",
            "telephone_number": "213-389-9595",
            "fax_number": "213-389-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 W 8TH ST STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573840",
            "telephone_number": "213-389-9595",
            "fax_number": "213-389-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNALDO L. MAKABALI MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "MAKABALI",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "LIMPIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-389-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A51157",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A51157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1598757577",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065990",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rmakabali_md@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Doctors Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2426 W 8th St Ste 104",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900573840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rolando Martin Reyna
• Jasmine Reynaga
• Reynaldo C Zapata MD Inc
• Reynaldo D Eclavea, DMD, Inc
• Reynaldo D Fernandez DMD
• Reynolds Chiropractic Inc
• Reynolds Chiropractic Inc
• Aaron Reynolds
• Ainsley P Reynolds
• Akilah Aisha Reynolds

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.