Linda Mak MD Inc.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A51014 Issued in CA

Legal business name

LINDA MAK MD INC.

Practice address

1381 E Herndon Ave Ste 109
Fresno, CA 93720-3307

Phone

(558) 448-8412

Fax

(559) 448-8415

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Linda Mak, M.D.NPI 1568415669

Title

President, Ceo

Phone

(760) 333-1418

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Linda Mak, MD, Inc.

  • MOHS-Micrographic Surgery Physician
  • El Centro, CA
  • NPI 1730115155

  O20040130000305

  Same enrollment
• Linda Mak, MD, Inc.

  • MOHS-Micrographic Surgery Physician
  • Indian Wells, CA
  • NPI 1750579348

  O20040130000305

  Same enrollment

Tax ID family

Linda Mak MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Linda Mak, MD, Inc.

  • MOHS-Micrographic Surgery Physician
  • El Centro, CA
  • NPI 1730115155
  NPD tax ID
• Linda Mak, MD, Inc.

  • MOHS-Micrographic Surgery Physician
  • Indian Wells, CA
  • NPI 1750579348
  NPD tax ID

Locations

Practitioners 1

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

• Linda L. Mak, M.D.

  • MOHS-Micrographic Surgery Physician
  • El Centro, CA
  • NPI 1568415669
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1326236381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28190",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298190",
            "telephone_number": "559-448-8412",
            "fax_number": "559-448-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 E HERNDON AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203307",
            "telephone_number": "558-448-8412",
            "fax_number": "559-448-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA MAK MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "760-333-1418",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A51014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan Thomas Lincoln
• Corey Elizabeth Lincoln
• Kevin Lincoln
• Ronda Denise Lincoln, RN
• Erica Villegas Lind, LVN
• Mary Louise Lindae, M.D.
• Jane Louise Lindberg
• Linder Quann Medical Associates Inc
• Elaine Linder
• Jean M Linder, MD

• MOHS-Micrographic Surgery Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.