Active NPI
Sirish Makan, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Hayward, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 65305
- Practice address
- 123 W Jackson St
Hayward, CA 94544-1809 - Phone
- (310) 872-8681
- NPI assigned
- Jul 19, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9353 | TN | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 65305 | CA | Primary |
Addresses
Primary practice location
123 W Jackson St
Hayward, CA 94544-1809
Mailing address
123 W Jackson St
Hayward, CA 94544-1809
Phone (310) 872-8681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Univ of the Pacific Dugoni School of Dentistry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18372 Clark St
Suite 224
Tarzana, CA 91356-3559
Phone (818) 996-1200
5555 Truxtun Ave
Suite 200
Bakersfield, CA 93309-7451
Phone (661) 863-9995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9353 | TN | MD | Dentist |
| 65305 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liu Makan Downey Dental Corporation | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Makan Dental Corporation | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Makan Tarzana Dental Corporation | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| 1706 Sapana Kothary DDS Inc | Past | Accepting new patients |
Locations
5555 Truxtun Ave
Ste 200
Bakersfield, CA 93309
Phone (661) 863-9995
10601 Paramount Blvd
Downey, CA 90241
Phone (562) 459-3311
18372 Clark St
Ste 224
Tarzana, CA 91356
Phone (818) 578-3500
Organizations & group practices 5
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Bakersfield, CA
- NPI 1790433001
-
- Oral and Maxillofacial Surgery (Dentist)
- Tarzana, CA
- NPI 1700536810
-
- Oral and Maxillofacial Surgery (Dentist)
- Downey, CA
- NPI 1891546560
-
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1013799931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1821386285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W JACKSON ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945441809",
"telephone_number": "310-872-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W JACKSON ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945441809",
"telephone_number": "310-872-8681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKAN",
"first_name": "SIRISH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9353",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "65305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.