LINDA MAK, MD, INC.
NPI 1730115155
Dermatology - MOHS-Micrographic Surgery in El Centro, CA

Active since June 25, 2006
1745 S IMPERIAL AVE, EL CENTRO, CA 92243(760) 353-0574(760) 353-0397 Get Directions Write a Review

NPPES record last updated: November 12, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Linda Mak, Md, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINDA MAK, MD, INC. (NPI 1730115155) is a healthcare organization registered as a mohs-micrographic surgery in El Centro, California and active in the NPI registry since June 2006. The organization lists Linda L Mak, Dr, as its authorized official.

NPPES Registry Identity

NPI1730115155
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameLINDA MAK, MD, INC.
Location Address1745 S IMPERIAL AVEEl Centro, CA 92243-4243
Mailing AddressPo Box 2678El Centro, CA 92244-2678 · (760) 353-0574 · Fax (760) 353-0397
Fax(760) 353-0397
Organization SubpartNo
Authorized OfficialLinda L MakDr · (760) 353-0574
Enumeration DateJune 25, 2006
Last NPPES UpdateNovember 12, 2007
✔ NPI 1730115155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
1745 S IMPERIAL AVE, El Centro, CA 92243

Other Identifiers 1

OtherW15903CA · Medicare Provider

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Linda Mak, Md, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040130000305Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Linda Mak, MD, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1568415669
1703 ROSS AVE #212
El Centro, CA 92243
(760) 568-0209
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1001250

Linda Mak MD Inc · El Centro, CA
Expired · Sep 30, 2026
CLIA Number05D1001250
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2022
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorLinda L. Mak MD
Laboratory Phone(760) 353-0574
Laboratory LocationLinda Mak MD Inc1073 Ross Ave, Ste A, El Centro, CA 92243
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Linda Mak, MD, Inc.'s NPI number?

The NPI number for Linda Mak, MD, Inc. is 1730115155. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Linda Mak, MD, Inc. located?

Linda Mak, MD, Inc. is located at 1745 S Imperial Ave, El Centro, CA 92243. The listed phone number is (760) 353-0574.

What is Linda Mak, MD, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Linda Mak, MD, Inc. enrolled in Medicare?

Yes. Linda Mak, MD, Inc. is registered in the Medicare PECOS enrollment system.

When is Linda Mak, MD, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Linda Mak, MD, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Linda Mak, MD, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Linda Mak, MD, Inc. was last updated on November 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.