Organization Active NPI

Pleiotropy, Inc.

  • Family Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1174856579
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5782 Issued in CA
Legal business name
PLEIOTROPY, INC.
Practice address
18821 Delaware St Ste 207
Huntington Beach, CA 92648-1936
Phone
(714) 848-1004
Fax
(714) 848-1304
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Dr. Mary L Minar, D.O.NPI 1972653814
Title
Physician
Phone
(714) 848-1004

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A5782 CA Primary

Addresses

Primary practice location

18821 Delaware St Ste 207
Huntington Beach, CA 92648-1936

Mailing address

18821 Delaware St Ste 207
Huntington Beach, CA 92648-1936
Phone (714) 848-1004

Other identifiers 1

IdentifierTypeStateIssuer
1972653814OtherCATYPE I NPI

National Provider Directory

National Provider Directory

Locations

18821 Delaware St
Ste 207
Huntington Beach, CA 92648
Phone (714) 375-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1174856579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST STE 207",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481936",
            "telephone_number": "714-848-1004",
            "fax_number": "714-848-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST STE 207",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481936",
            "telephone_number": "714-848-1004",
            "fax_number": "714-848-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEIOTROPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "MINAR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-848-1004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1972653814",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.