Active NPI
Chun Keung Mak, D.C., Q.M.E., E.M.T.
- Independent Medical Examiner Chiropractor
- Garden Grove, CA
National Provider Identifier
1821286980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- DC30705
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC30705 | CA | MD | Independent Medical Examiner Chiropractor |
| CH60345731 | WA | MD | Independent Medical Examiner Chiropractor |
| E074526 | CA | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Legal Medicine
- Riverside, CA
- NPI 1568330769
-
- Legal Medicine (M.D./D.O.) Physician
- Riverside, CA
- NPI 1841177573
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.