Individual provider Active NPI

Debra A. Minjarez, M.D.

  • Reproductive Endocrinology Physician
  • Santa Barbara, CA
National Provider Identifier
1093725731
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
G142042 Issued in CA
Practice address
1722 State St Ste 203
Santa Barbara, CA 93101-2526
Phone
(805) 569-1950
Fax
(805) 569-1920
NPI assigned
Aug 8, 2006
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G142042 CA
Reproductive Endocrinology Physician 207VE0102X G142042 CA Primary

Addresses

Primary practice location

1722 State St Ste 203
Santa Barbara, CA 93101-2526

Mailing address

1722 State St Ste 203
Santa Barbara, CA 93101-2526
Phone (805) 569-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G142042CAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCA Healthone LLC Past Accepting new patients
Peter Charles Klatsky, M.D. Inc Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1093725731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 STATE ST STE 203",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012526",
            "telephone_number": "805-569-1950",
            "fax_number": "805-569-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 STATE ST STE 203",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012526",
            "telephone_number": "805-569-1950",
            "fax_number": "805-569-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINJAREZ",
        "first_name": "DEBRA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G142042",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G142042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.