Active NPI
Makam Medical Corporation
Doing business as Anaheim Nuclear CT/ PET Imaging Center
- Cardiovascular Disease Physician
- Anaheim, CA
National Provider Identifier
1821132655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A40900
- Legal business name
- MAKAM MEDICAL CORPORATION
- Doing business as
- Anaheim Nuclear CT/ PET Imaging Center
- Practice address
- 1120 W la Palma Ave
14
Anaheim, CA 92801 - Phone
- (714) 774-9747
- Fax
- (714) 774-0921
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ravi P Makam, MD FACC
- Title
- Medical Doctor
- Phone
- (714) 774-9747
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A40900 | CA | Primary |
Addresses
Primary practice location
1120 W la Palma Ave
14
Anaheim, CA 92801
Mailing address
1120 W la Palma Ave
14
Anaheim, CA 92801
Phone (714) 774-9747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A409000 | Medicaid | CA |
Other names 1
- Anaheim Nuclear CT/ PET Imaging Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1120 W La Palma Ave
Ste 14
Anaheim, CA 92801
Phone (714) 774-9747
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Anaheim, CA
- NPI 1720070527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756080000000",
"number": "1821132655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 W LA PALMA AVE",
"address_2": "14",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92801",
"telephone_number": "714-774-9747",
"fax_number": "714-774-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W LA PALMA AVE",
"address_2": "14",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92801",
"telephone_number": "714-774-9747",
"fax_number": "714-774-0921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKAM MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A",
"authorized_official_last_name": "MAKAM",
"authorized_official_first_name": "RAVI",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "714-774-9747",
"authorized_official_credential": "MD FACC"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A40900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A409000",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anaheim Nuclear CT/ PET Imaging Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.