Active NPI
Lakshman D Makandura MD Inc
- Internal Medicine Physician
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A49715
- Legal business name
- LAKSHMAN D MAKANDURA MD INC
- Practice address
- 910 S Sunset Ave
Suite 8
West Covina, CA 91790-3409 - Phone
- (626) 338-8407
- Fax
- (626) 338-3937
- NPI assigned
- Jan 18, 2011
- Last updated
- Jan 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lakshman D Makandura, MD
- Title
- President
- Phone
- (626) 338-8407
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A49715 | CA | Primary |
Addresses
Primary practice location
910 S Sunset Ave
Suite 8
West Covina, CA 91790-3409
Mailing address
910 S Sunset Ave
Suite 8
West Covina, CA 91790-3409
Phone (626) 338-8407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0916507 | Lakshman D Makandura MD Inc | Certificate of waiver | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
910 S Sunset Ave
Ste 8
West Covina, CA 91790
Phone (626) 338-8407
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- West Covina, CA
- NPI 1578614657
-
- Family Nurse Practitioner
- West Covina, CA
- NPI 1467063214
-
- Medical Physician Assistant
- West Covina, CA
- NPI 1336470871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295308800000",
"number": "1316242639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S SUNSET AVE",
"address_2": "SUITE 8",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903409",
"telephone_number": "626-338-8407",
"fax_number": "626-338-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S SUNSET AVE",
"address_2": "SUITE 8",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903409",
"telephone_number": "626-338-8407",
"fax_number": "626-338-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKSHMAN D MAKANDURA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A",
"authorized_official_last_name": "MAKANDURA",
"authorized_official_first_name": "LAKSHMAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-338-8407",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A49715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
- Johnmarie Lacson
- Christina Ann Lagazo, NP
- Amanda Lai
- Lakeside Medical Associates, a Medical Group, Inc. (Lakeside Community Healthcare Medical Group)
- Lakeside Medical Assoicates, a Medical Group, Inc. (Lakeside Community Healthcare Medical Group)
- Lam Optometry, Inc
- Aaron Lam, O.D.
- Albe Lam
- Kin Lam, PHARMD
- Nicholas Lam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.