Organization Active NPI

Mina N Mikhail MD Inc

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1194899492
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A51300 Issued in CA
Legal business name
MINA N MIKHAIL MD INC
Practice address
4500 Brockton Ave Ste 203
Riverside, CA 92501-4006
Phone
(951) 750-1090
Fax
(951) 750-1091
NPI assigned
Nov 20, 2006
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Mina N Mikhail, MDNPI 1336226786
Title
Owner
Phone
(951) 750-1090

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 A51300 CA Primary

Addresses

Primary practice location

4500 Brockton Ave Ste 203
Riverside, CA 92501-4006

Mailing address

4500 Brockton Ave Ste 203
Riverside, CA 92501-4006
Phone (951) 750-1090

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4500 Brockton Ave
Ste 203
Riverside, CA 92501
Phone (951) 686-3600

Practitioners & affiliated clinicians

Practitioners 2

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1194899492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014006",
            "telephone_number": "951-750-1090",
            "fax_number": "951-750-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014006",
            "telephone_number": "951-750-1090",
            "fax_number": "951-750-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA N MIKHAIL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "MINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-750-1090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.