Gregg Robert Makovic, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2521 Issued in CA

Practice address

717 S Averill Ave
San Pedro, CA 90732-3813

Phone

(310) 548-6298

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Convalescent Podiatry Care

  • Podiatrist
  • Lakewood, CA
  • NPI 1568576528
  NPD (past)
• James F Eggold

  • Podiatrist
  • Riverside, CA
  • NPI 1720276058
  NPD (past)
• Orange County Foot and Ankle Group, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Fullerton, CA
  • NPI 1639102833
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1598836769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S AVERILL AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323813",
            "telephone_number": "310-548-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S AVERILL AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323813",
            "telephone_number": "310-548-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOVIC",
        "first_name": "GREGG",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2521",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E2521",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E25210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hiedy Magana, LVN
• Luis G Magdaleno, MD
• Camia Magee
• Mahmoud Ajang M.D., a Professional Medical Corporation
• Phong Mai
• Sonia Malhotra
• Marissa U Manai
• Ra'Vonne Mandac
• Staicy Maravillas
• Vincent Matthew Mardesich, DDS.

• Podiatrist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.