Linda Mak, MD, Inc.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A51014 Issued in CA

Legal business name

LINDA MAK, MD, INC.

Practice address

74-900 Hwy 111, Ste 212
Indian Wells, CA 92210

Phone

(760) 568-0209

Fax

(760) 568-0184

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Linda Mak, M.D.NPI 1568415669

Title

President, Ceo

Phone

(760) 333-1418

Specialties & licenses 1

Addresses

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
  • El Centro, CA
  • NPI 1730115155

  O20040130000305

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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
  • El Centro, CA
  • NPI 1730115155
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1750579348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5819",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922485819",
            "telephone_number": "760-568-0209",
            "fax_number": "760-568-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-900 HWY 111, STE 212",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "92210",
            "telephone_number": "760-568-0209",
            "fax_number": "760-568-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA MAK, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "760-333-1418",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A51014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corvin Kelly, D.C.
• Mark C. Kiselow, M.D.
• Rafal Ryszard Kurzawa, M.D.
• James Michael Lee, M.D.
• Melissa Lee, AMFT
• Javier Alejandro Lopez Garcia
• Alondra Lopez
• Claudia Vanesa Lopez, LE, PMUA
• Matthew D. Smith, D.C., a Chiropractic Corporation
• Karina Venegas Moreno

• MOHS-Micrographic Surgery Physician in Indian Wells, CA
• Providers in Indian Wells, 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 Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.