Individual provider Active NPI

Sarah L Mina, DPM

  • Podiatrist
  • Vacaville, CA
National Provider Identifier
1134400492
Registry record updated Jul 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002396 Issued in MI
Practice address
600 Nut Tree Rd Ste 110
Vacaville, CA 95687-4656
Phone
(707) 241-4116
Fax
(707) 241-4117
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD-8 GU
Podiatrist 213E00000X 5901002396 MI Primary

Addresses

Primary practice location

600 Nut Tree Rd Ste 110
Vacaville, CA 95687-4656

Mailing address

655 Harmon Loop Rd
Ste 108
Dededo, GU 96929-6544
Phone (671) 633-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150928002563 GU Practitioner - Podiatry 9739303900 Reassigns benefits to 1 organization
I20190620003185 CA Practitioner - Podiatry 9739303900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Foot and Ankle CenterGroup PAC ID 9436492329, 2 clinicians

Practice addresses (Care Compare)

600 Nut Tree Rd
Suite 110
Vacaville, CA 95687-4656
Phone (707) 241-4116

Merit-based Incentive Payment System (MIPS)

Final score
72.53 of 100Reported as individual
Quality
31.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue70
Removal of skin lesions1-10
Removal of nail tissue332
Removal or shaving of skin growth203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-8GUMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Foot and Ankle Center Podiatrist CurrentSince Dec 11, 2018 Accepting new patients
Guam Memorial Hospital CurrentSince Aug 31, 2015 Accepting new patients
Guam Memorial Hospital CurrentSince Aug 31, 2015 Accepting new patients
VHS Huron Valley-Sinai Hospital Inc Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
BC Podiatry PLLC Podiatrist Past Accepting new patients

Locations

600 Nut Tree Rd
Ste 210
Vacaville, CA 95687
Phone (707) 359-1800

607 Elmira Rd
Vacaville, CA 95687
Phone (707) 229-1377

600 Nut Tree Rd
Ste 110
Vacaville, CA 95687
Phone (707) 241-4116

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

Interoperability endpoints

  • Direct secure messaging: smina541779@hisp.ehr.sutterhealth.org
  • Direct secure messaging: s.mina@ifaac-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563062400000",
    "number": "1134400492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 HARMON LOOP RD",
            "address_2": "STE 108",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296544",
            "telephone_number": "671-633-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD STE 110",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874656",
            "telephone_number": "707-241-4116",
            "fax_number": "707-241-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINA",
        "first_name": "SARAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2019-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GU",
            "license": "POD-8",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.