Organization Active NPI

Minal D Tapadia MD Inc

  • Medical Specialty Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1215498282
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MINAL D TAPADIA MD INC
Practice address
11170 Warner Ave Ste 106
Fountain Valley, CA 92708-4014
Phone
(714) 540-3244
Fax
(714) 540-5842
NPI assigned
Mar 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Minal Tapadia, MDNPI 1982995916
Title
President
Phone
(907) 204-1710

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

11170 Warner Ave Ste 106
Fountain Valley, CA 92708-4014

Mailing address

4 Trafalgar
Newport Beach, CA 92660-6830
Phone (907) 204-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191226001854 CA Part B Supplier - Clinic/Group Practice 2062846108 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA
O20240805001316 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2062846108 Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

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": "1553904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1215498282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TRAFALGAR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606830",
            "telephone_number": "907-204-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11170 WARNER AVE STE 106",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084014",
            "telephone_number": "714-540-3244",
            "fax_number": "714-540-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINAL D TAPADIA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "TAPADIA",
        "authorized_official_first_name": "MINAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-204-1710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.