Active NPI
Frank Weber Minor, M.D.
- Specialist
- Grass Valley, CA
National Provider Identifier
1104809243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C420170
- Practice address
- 152 Catherine LN
Ste a
Grass Valley, CA 95945-5756 - Phone
- (530) 273-1111
- Fax
- (530) 273-1573
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C420170 | CA | Primary |
Addresses
Primary practice location
152 Catherine LN
Ste a
Grass Valley, CA 95945-5756
Mailing address
152 Catherine LN
Ste a
Grass Valley, CA 95945-5756
Phone (530) 273-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C420170 | Other | CA | ORIGINAL MEDICARE PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42017 | CA | MD | Dentist |
| C420170 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1104809243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 CATHERINE LN",
"address_2": "STE A",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455756",
"telephone_number": "530-273-1111",
"fax_number": "530-273-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 CATHERINE LN",
"address_2": "STE A",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455756",
"telephone_number": "530-273-1111",
"fax_number": "530-273-1573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "FRANK",
"middle_name": "WEBER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "C420170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORIGINAL MEDICARE PROVIDER NUMBER",
"identifier": "00C420170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.