WENDY MAK (D.O.) – Family Medicine Physician, NPI 1508250036

WENDY MAK (D.O.) is a healthcare provider. based in Northridge, California. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 20A15395 (CA). The NPI Number for WENDY MAK (D.O.) is 1508250036

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
WENDY MAK (D.O.)
NPI
1508250036
Phone
(818) 885-5480
Address
18460 ROSCOE BLVD
Enumeration Date
23 March 2015
Last Update Date
11 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3236443880
Graduation Year
2015 (11 years ago)
PAC ID
3476828310
Group Practice PAC ID
8729997390
Professional Enrollment ID
I20171003007073
Address ID
CA900275516LO1530XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for WENDY MAK (D.O.)

  • 18460 ROSCOE BLVD

    NORTHRIDGE, CA 913254107

    Phone: (818) 885-5480

    Type: Location

  • 18406 ROSCOE BLVD

    NORTHRIDGE, CA 913254107

    Phone: (818) 993-4054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $670.

Total Amount is formed as General ($670) + Research ($0) + Ownership ($0) = $670.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Lilly USA, LLC ($254).

Total Amount

$670

General + Research + Ownership

Payments

17

Total payment records

General Amount

$670

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171003007073IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91325)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729997390View full group profile
NameSpecialtyState
Nurse PractitionerCA
Family PracticeCA
Internal MedicineCA
P S Y C H I A T R YCA
Family PracticeTX
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

Does WENDY MAK (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — WENDY MAK (D.O.) uses 1508250036.
Can I rely on WENDY MAK (D.O.) being an active provider?
As of the registry snapshot, WENDY MAK (D.O.) is marked active.
What is WENDY MAK (D.O.) best known for clinically?
Directory data describes WENDY MAK (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for WENDY MAK (D.O.)?
WENDY MAK (D.O.)'s geographic hint is Northridge, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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