Organization Active NPI

I Michael Minehart M D Inc

Doing business as Advanced Pain Institute

  • Pain Medicine Physician
  • Arcadia, CA
National Provider Identifier
1114360088
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A44356 Issued in CA
Legal business name
I MICHAEL MINEHART M D INC
Doing business as
Advanced Pain Institute
Practice address
638 W Duarte Rd
Suite 18
Arcadia, CA 91007-7616
Phone
(626) 445-2371
Fax
(626) 445-2618
NPI assigned
Apr 10, 2013
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Dr. Isaac M Minehart, M.D.NPI 1639167091
Title
Medical Director/Owner
Phone
(626) 445-2371

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A44356 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A44356 CA
Pain Medicine Physician 208VP0000X A44356 CA Primary

Addresses

Primary practice location

638 W Duarte Rd
Suite 18
Arcadia, CA 91007-7616

Mailing address

PO Box 1464
Arcadia, CA 91077-1464
Phone (626) 445-2371

Other names 1

  • Advanced Pain Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130718000536 CA Part B Supplier - Clinic/Group Practice 5496996316 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

638 W Duarte Rd
#18A
Arcadia, CA 91007

638 W Duarte Rd
Ste 18B
Arcadia, CA 91007
Phone (626) 445-2371

Practitioners & affiliated clinicians

Practitioners 1

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": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1114360088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1464",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910771464",
            "telephone_number": "626-445-2371",
            "fax_number": "626-445-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W DUARTE RD",
            "address_2": "SUITE 18",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077616",
            "telephone_number": "626-445-2371",
            "fax_number": "626-445-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I MICHAEL MINEHART M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "MINEHART",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "626-445-2371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A44356",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A44356",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A44356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.