Active NPI
Mahmood Moayed Makooi, DC, CCSP
- Sports Physician Chiropractor
- Vallejo, CA
National Provider Identifier
1689789000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 3115
- Practice address
- 2121 Redwood St
Suite G
Vallejo, CA 94590-3603 - Phone
- (707) 644-8480
- Fax
- (707) 644-3926
- NPI assigned
- Aug 19, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 21746 | CA | |
| Sports Physician Chiropractor | 111NS0005X | 3115 | CA | Primary |
Addresses
Primary practice location
2121 Redwood St
Suite G
Vallejo, CA 94590-3603
Mailing address
2121 Redwood St
Suite G
Vallejo, CA 94590-3603
Phone (707) 644-8480
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21746 | CA | MD | Chiropractor |
| 3115 | CA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1689789000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 REDWOOD ST",
"address_2": "SUITE G",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945903603",
"telephone_number": "707-644-8480",
"fax_number": "707-644-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 REDWOOD ST",
"address_2": "SUITE G",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945903603",
"telephone_number": "707-644-8480",
"fax_number": "707-644-3926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKOOI",
"first_name": "MAHMOOD",
"middle_name": "MOAYED",
"credential": "DC, CCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21746",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "3115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.