Individual provider Active NPI

Arjun R Makam, D.O.

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1669732749
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A13187 Issued in CA
Practice address
1120 W la Palma Ave Ste 14
Anaheim, CA 92801-2805
Phone
(714) 774-9747
NPI assigned
May 22, 2012
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A13187 CA Primary
Cardiovascular Disease Physician 207RC0000X 20A13187 CA
Interventional Cardiology Physician 207RI0011X 20A13187 CA

Addresses

Primary practice location

1120 W la Palma Ave Ste 14
Anaheim, CA 92801-2805

Mailing address

PO Box 15659
Anaheim, CA 92803-5659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119001852 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9335434646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Arizona College of Osteopathic Medicine Mid Western University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Makam Medical CorporationGroup PAC ID 6507027422, 2 clinicians

Practice addresses (Care Compare)

1120 W la Palma Ave
Suite 14
Anaheim, CA 92801-2805
Phone (714) 774-9747

760 Washburn Ave
Suite 7
Corona, CA 92882-3303
Phone (951) 735-2311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A13187CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arm Medical Incorporated Cardiovascular Disease CurrentSince Sep 3, 2025 Accepting new patients
Makam Medical Corporation Cardiovascular Disease CurrentSince Nov 1, 2020 Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Lac Usc Past Accepting new patients

Locations

1120 W La Palma Ave
Ste 14
Anaheim, CA 92801
Phone (714) 774-9747

760 Washburn Ave
Ste 7
Corona, CA 92882
Phone (951) 735-2311

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1669732749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15659",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928035659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA PALMA AVE STE 14",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012805",
            "telephone_number": "714-774-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKAM",
        "first_name": "ARJUN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A13187",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "20A13187",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "20A13187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.