Individual provider Active NPI

Nikki Wu Makino, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Pasadena, CA
National Provider Identifier
1538660360
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
26307 Issued in CA
Practice address
301 E del Mar Blvd
Pasadena, CA 91101-2714
Phone
(626) 796-2016
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 26307 CA Primary

Addresses

Primary practice location

301 E del Mar Blvd
Pasadena, CA 91101-2714

Mailing address

301 E del Mar Blvd
Pasadena, CA 91101-2714
Phone (626) 796-2016

Other names 1

  • Nikki Biqian Wu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
26307CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Center Speech-Language Pathologist PastSince Jul 1, 2014 Accepting new patients
Cortica Healthcare Inc Past Accepting new patients
Hear Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1538660360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012714",
            "telephone_number": "626-796-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012714",
            "telephone_number": "626-796-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKINO",
        "first_name": "NIKKI",
        "middle_name": "WU",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "WU",
            "middle_name": "BIQIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.