Linda Mak, MD, Inc.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

LINDA MAK, MD, INC.

Practice address

1745 S Imperial Ave
El Centro, CA 92243-4243

Phone

(760) 353-0574

Fax

(760) 353-0397

NPI assigned

Jun 25, 2006

Last updated

Nov 12, 2007By 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

Dr. Linda L Mak, MDNPI 1568415669

Title

Dr

Phone

(760) 353-0574

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Linda Mak MD Inc.

  • MOHS-Micrographic Surgery Physician
  • Fresno, CA
  • NPI 1326236381

  O20040130000305

  Same enrollment
• Linda Mak, MD, Inc.

  • MOHS-Micrographic Surgery Physician
  • Indian Wells, CA
  • NPI 1750579348

  O20040130000305

  Same enrollment

Tax ID family

Linda Mak MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Linda Mak MD Inc.

  • MOHS-Micrographic Surgery Physician
  • Fresno, CA
  • NPI 1326236381
  NPD tax ID
• Linda Mak, MD, Inc.

  • MOHS-Micrographic Surgery Physician
  • Indian Wells, CA
  • NPI 1750579348
  NPD tax ID

Locations

Practitioners 1

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.

• Linda L. Mak, M.D.

  • MOHS-Micrographic Surgery Physician
  • El Centro, CA
  • NPI 1568415669
  NPD Authorized official

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1730115155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2678",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922442678",
            "telephone_number": "760-353-0574",
            "fax_number": "760-353-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434243",
            "telephone_number": "760-353-0574",
            "fax_number": "760-353-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA MAK, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "760-353-0574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "W15903",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Austin John Lindley-Shappet
• Erika Lira
• Rojian B Lira, CRT, RDMS
• Jordy Lizaola
• Ricardo A Lizarraga Palafox

• MOHS-Micrographic Surgery Physician in El Centro, CA
• Providers in El Centro, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.