Jordan Alexis Makin

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

95157633 Issued in CA

Practice address

15615 Pomerado Rd
Poway, CA 92064-2405

Phone

(858) 613-4000

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1437620390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 FENTON PKWY APT 213",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084748",
            "telephone_number": "814-421-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 POMERADO RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642405",
            "telephone_number": "858-613-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKIN",
        "first_name": "JORDAN",
        "middle_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "95157633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narasa Raju Madam, M.B.B.S
• Michele Renee Madson Johnson, LCSW
• Genesis Magana Godinez
• Gavin R Magee
• Dalia Makhlouf
• Anna Makridis
• Stephanie Malaxechevarria
• Jacob Eli Maldonado, APCC
• Melissa Maldonado
• Louis Maletz, MD

• Medical-Surgical Registered Nurse in Poway, CA
• Providers in Poway, CA by specialty
• Medical-Surgical Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.