NPIMap

Organization Active NPI

Minarets Medical Group, Inc.

  • Dermatology Physician
  • Fresno, CA
National Provider Identifier
1063626265
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G42580 Issued in CA
Legal business name
MINARETS MEDICAL GROUP, INC.
Practice address
1340 W Herndon Ave
Ste 101
Fresno, CA 93711-7180
Phone
(559) 438-1324
NPI assigned
May 9, 2007
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Dr. Leah Press, M.D.NPI 1609985704
Title
President
Phone
(559) 438-1324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G42580 CA Primary

Addresses

Primary practice location

1340 W Herndon Ave
Ste 101
Fresno, CA 93711-7180

Mailing address

2146 W Alluvial Ave
Fresno, CA 93711-0441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080718000585 CA Part B Supplier - Clinic/Group Practice 2567535826 Receives reassigned benefits from 11 practitioners
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0688923Minarets Medical Group Inc1340 W Herndon Ave Ste 101, Fresno, CA 93711ComplianceApr 10, 2027

National Provider Directory

National Provider Directory

Locations

1340 W Herndon Ave
Ste 101
Fresno, CA 93711
Phone (559) 438-6577

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1063626265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 W ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 W HERNDON AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117180",
            "telephone_number": "559-438-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINARETS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "PRESS",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-438-1324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G42580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.