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MAKEBA M ID-DEEN M.A.
NPI 1730471731
Rehabilitation Practitioner in San Leandro, CA

Active since May 09, 2011
777 DAVIS ST, SAN LEANDRO, CA 94577(510) 839-3800 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Jun 13, 2023, Nov 30, 2022 (3 updates tracked since 2022).

About Makeba M Id-deen M.a. NPPES

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

MAKEBA M ID-DEEN M.A. (NPI 1730471731) is an individual rehabilitation practitioner in San Leandro, California and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1730471731
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMAKEBA M ID-DEENCredential: M.A.
Location Address777 DAVIS STSan Leandro, CA 94577-6923
Mailing Address777 Davis StSan Leandro, CA 94577-6923
Phone(510) 839-3800
Sole ProprietorNo
Enumeration DateMay 9, 2011
Last NPPES UpdateAugust 25, 20253 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1730471731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
777 DAVIS ST, San Leandro, CA 94577
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Other Names 1

Other Name (5)Makeba Id-deen

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEEMORE FEDERMAN
Social Worker (Clinical)
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (415) 578-0791
VERONICA RODRIGUES
Day Training/Habilitation Specialist
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 746-2800
MR. JOHN CHARLES ROEDEL LMFT
Marriage & Family Therapist
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (513) 400-5460
DR. BETHANY FRIEDMAN PSY.D.
Psychologist (Clinical)
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 626-2800
CRISTINA MARIA CARRILLO
Rehabilitation Practitioner
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (415) 656-0116
MARY TIEH
Day Training/Habilitation Specialist
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 609-2854
JONATHAN BLOCH
Social Worker
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 839-3800
DENNYS MONTOYA
Rehabilitation Practitioner
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 839-3800

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 Makeba Id-deen's NPI number?

The NPI number for Makeba Id-deen is 1730471731. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Where is Makeba Id-deen located?

Makeba Id-deen practices at 777 Davis St, San Leandro, CA 94577. The listed phone number is (510) 839-3800.

What is Makeba Id-deen's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Makeba Id-deen was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.