Individual provider Active NPI

Chun Keung Mak, D.C., Q.M.E., E.M.T.

  • Independent Medical Examiner Chiropractor
  • Garden Grove, CA
National Provider Identifier
1821286980
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
DC30705 Issued in CA
Practice address
10141 Westminster Ave #204
Garden Grove, CA 92843
Phone
(562) 895-1913
Fax
(714) 590-2232
NPI assigned
Oct 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X DC30705 CA Primary
Basic Emergency Medical Technician 146N00000X E074526 CA
Independent Medical Examiner Chiropractor 111NI0013X CH60345731 WA

Addresses

Primary practice location

10141 Westminster Ave #204
Garden Grove, CA 92843

Mailing address

10141 Westminster Ave #204
Garden Grove, CA 92843
Phone (562) 895-1913

Other names 1

  • Israel Mak Other name

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)
Not enrolled
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
DC30705CAMDIndependent Medical Examiner Chiropractor
CH60345731WAMDIndependent Medical Examiner Chiropractor
E074526CAMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Chiropractic Center Mak PC Current Accepting new patients
Riverside Chiropractic Center Mak PC Current Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1821286980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 WESTMINSTER AVE #204",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "562-895-1913",
            "fax_number": "714-590-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 WESTMINSTER AVE #204",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "562-895-1913",
            "fax_number": "714-590-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAK",
        "first_name": "CHUN KEUNG",
        "name_prefix": "Dr.",
        "credential": "D.C., Q.M.E., E.M.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC30705",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E074526",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WA",
            "license": "CH60345731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISRAEL",
            "last_name": "MAK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.