Albert C Mak MD Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

G79330 Issued in CA

Legal business name

ALBERT C MAK MD INC

Practice address

707 S Garfield Ave
BSMT
Alhambra, CA 91801-5859

Phone

(805) 577-8730

Fax

(805) 991-4065

NPI assigned

Oct 26, 2007

Last updated

Mar 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rose Marie Rivera

Title

Administrator

Phone

(805) 577-8730

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Albert C Mak, M.D.

  • Specialist
  • Alhambra, CA
  • NPI 1902910904
  Medicare reassignment Care Compare group NPD
• Ana Maria Grace, M.D.

  • Radiation Oncology Physician
  • Phoenix, AZ
  • NPI 1770697492

  CA

  Medicare reassignment Care Compare group NPD
• Janice J Rha, MD

  • Specialist
  • Lawndale, CA
  • NPI 1750302261
  Medicare reassignment NPD
• Jekwon Yeh, MD

  • Radiation Oncology Physician
  • Glendale, CA
  • NPI 1417278201
  NPD
• Barry W. Goy, MD

  • Radiation Oncology Physician
  • Los Angeles, CA
  • NPI 1609947688
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1669651618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80520",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911188520",
            "telephone_number": "805-577-8730",
            "fax_number": "805-991-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE",
            "address_2": "BSMT",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015859",
            "telephone_number": "805-577-8730",
            "fax_number": "805-991-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT C MAK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ROSE MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-577-8730",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G79330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G793300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.