Organization Active NPI

Minh Canh DO, MD, Inc.

  • Nephrology Physician
  • Santa Ana, CA
National Provider Identifier
1114398955
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A45092 Issued in CA
Legal business name
MINH CANH DO, MD, INC.
Practice address
4718 W 1St St
100
Santa Ana, CA 92703-3106
Phone
(714) 418-0488
Fax
(714) 418-1086
NPI assigned
Oct 19, 2015
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Minh Canh DO, M.D.
Title
President
Phone
(714) 418-0488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X A45092 CA Primary

Addresses

Primary practice location

4718 W 1St St
100
Santa Ana, CA 92703-3106

Mailing address

4718 W 1St St
100
Santa Ana, CA 92703-3106
Phone (714) 418-0488

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
05D0930906Minh C DO MD Inc4718 W 1St St Ste 100, Santa Ana, CA 92703Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1114398955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 W 1ST ST",
            "address_2": "100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033106",
            "telephone_number": "714-418-0488",
            "fax_number": "714-418-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 W 1ST ST",
            "address_2": "100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033106",
            "telephone_number": "714-418-0488",
            "fax_number": "714-418-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINH CANH DO, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "CANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-418-0488",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A45092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.