Individual provider Active NPI

Nida Nora E Miniano, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1174570931
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A88182 Issued in CA
Practice address
8233 E Stockton Blvd Ste D
Sacramento, CA 95828-8203
Phone
(916) 368-3080
Fax
(916) 405-6551
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A88182 CA Primary

Addresses

Primary practice location

8233 E Stockton Blvd Ste D
Sacramento, CA 95828-8203

Mailing address

8233 E Stockton Blvd
Ste D
Sacramento, CA 95828-8203
Phone (916) 368-3080

Other identifiers 3

IdentifierTypeStateIssuer
ACTIVE EFF: 12/21/09OtherCAMEDI-CAL
P01222611/DS9933OtherCARR MEDICARE-CITRUS HEIGHTS, 55TH ST
P01453284-DV5277OtherCARAILROAD MEDICARE

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A88182CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Bernardino Past Accepting new patients
Francisco J Marasigan MD & Erlinda R Marasigan MD Professional Corp Family Medicine PastSince Mar 31, 2015 Accepting new patients
Molina Healthcare of California Past Accepting new patients
Molina Healthcare of California Family Medicine Past Accepting new patients
Namita Mohideen MD Inc Past Accepting new patients
Hanh Truong, M.D., PA Past Accepting new patients

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174570931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8233 E STOCKTON BLVD",
            "address_2": "STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958288203",
            "telephone_number": "916-368-3080",
            "fax_number": "916-405-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8233 E STOCKTON BLVD STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958288203",
            "telephone_number": "916-368-3080",
            "fax_number": "916-405-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIANO",
        "first_name": "NIDA NORA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "ACTIVE EFF: 12/21/09",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-CITRUS HEIGHTS, 55TH ST",
            "identifier": "P01222611/DS9933",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01453284-DV5277",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.