Minuteclinic Diagnostic Medical Group of California Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC

Practice address

511 N Hollywood Way
Burbank, CA 91505-3406

Phone

(866) 389-2727

Fax

(401) 406-3539

NPI assigned

Aug 1, 2007

Last updated

Oct 11, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Pincince

Title

Administrator

Phone

(401) 770-3813

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Minuteclinic Diagnostic Medical Group of California Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Minuteclinic Diagnostic Medical Group of California Inc

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1205575990
  NPD tax ID
• Minuteclinic Diagnostic Medical Group of California Inc

  • Clinical Social Worker
  • Burbank, CA
  • NPI 1811641244
  NPD tax ID

Locations

Practitioners 245

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maribelle B. Abergas, FNP

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1104481704
  Medicare reassignment Care Compare group NPD
• Tracy Tran Canonizado

  • Family Nurse Practitioner
  • El Cajon, CA
  • NPI 1447858139
  Medicare reassignment Care Compare group NPD
• Sheena Ching-Larson

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1104358381
  Medicare reassignment Care Compare group NPD
• Leanne Deng

  • Family Nurse Practitioner
  • Arcadia, CA
  • NPI 1558257758
  Medicare reassignment Care Compare group NPD
• Janet Garcia

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1154710507
  Medicare reassignment Care Compare group NPD
• Yui Hatano

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1043635394
  Medicare reassignment Care Compare group NPD
• Sona Kirakasian

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1780356402
  Medicare reassignment Care Compare group NPD
• Angie Lea-Wilson, FNP-C

  • Family Nurse Practitioner
  • Arcadia, CA
  • NPI 1265252258
  Medicare reassignment Care Compare group NPD
• Leonardo Mariano

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1275241622
  Medicare reassignment Care Compare group NPD
• Natalie Movsessian, NP

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1255898417
  Medicare reassignment Care Compare group NPD
• Stacy W. Nakamura

  • Clinical Social Worker
  • Irvine, CA
  • NPI 1346428224
  Medicare reassignment Care Compare group NPD
• Johnny Pham, FNP

  • Family Nurse Practitioner
  • Pomona, CA
  • NPI 1205578622
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1033309372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "address_2": "PAYOR ENROLLMENT-MC 2295",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950784",
            "telephone_number": "866-389-2727",
            "fax_number": "401-406-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N HOLLYWOOD WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053406",
            "telephone_number": "866-389-2727",
            "fax_number": "401-406-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Minasyan, NP
• Mind and Help Home Health, Inc.
• Mindbloom ABA Therapy Corporation
• Elizabeth Minor
• Maria Ruby R Minosa, MD.
• Minuteclinic Diagnostic Medical Group of California Inc
• Minuteclinic Diagnostic Medical Group of California Inc
• Mir Ali-Khan M D Professional Corporation
• Barry Mir-Motahari, MSW INTERN
• Marina Mirabal, BCBA

• Family Nurse Practitioner in Burbank, CA
• Providers in Burbank, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.