Active NPI
Michael Minzenberg, M.D.
- Psychiatry Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A061277
- Practice address
- 2230 Stockton Blvd
Sacramento, CA 95817-1419 - Phone
- (916) 734-2972
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A061277 | CA | Primary |
Addresses
Primary practice location
2230 Stockton Blvd
Sacramento, CA 95817-1419
Mailing address
2230 Stockton Blvd
Sacramento, CA 95817-1419
Phone (916) 734-2972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- McGill University, Faculty of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3300 Webster St
Suite 402
Oakland, CA 94609-3149
Phone (844) 867-8444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A061277 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Ca | Psychiatry | Current | Accepting new patients |
| Mindful Health Solutions a Professional Medical Corporation | Psychiatry | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients |
Locations
1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380
3300 Webster St
Ste 402
Oakland, CA 94609
Phone (510) 451-6020
3300 Webster St
Ste 812
Oakland, CA 94609
Phone (510) 465-1690
3300 Webster St
Ste 804
Oakland, CA 94609
Phone (510) 451-0996
3300 Webster St
Ste 803
Oakland, CA 94609
2825 50th St
Sacramento, CA 95817
Phone (916) 703-0300
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
2230 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2614
360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819
360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137
Interoperability endpoints
- canmi.michaelminzenberg@145631.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1881894483
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Adult Development & Aging Psychologist
- Los Angeles, CA
- NPI 1750368999
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1164415238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235151457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171419",
"telephone_number": "916-734-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171419",
"telephone_number": "916-734-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINZENBERG",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A061277",
"primary": true
}
],
"identifiers": [],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.