NPIMap

Individual provider Active NPI

Brian L Minkus, D.O.

  • Family Medicine Physician
  • Artesia, CA
National Provider Identifier
1235165507
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5897 Issued in CA
Practice address
18502 Gridley Rd
Artesia, CA 90701-5436
Phone
(562) 865-6160
Fax
(562) 468-4315
NPI assigned
Jun 25, 2006
Last updated
Oct 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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 20A5897 CA Primary

Addresses

Primary practice location

18502 Gridley Rd
Artesia, CA 90701-5436

Mailing address

18502 Gridley Rd
Artesia, CA 90701-5436
Phone (562) 865-6160

Other identifiers 1

IdentifierTypeStateIssuer
00AX58970MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000335 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0446213623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18502 Gridley Rd
Artesia, CA 90701-5406
Phone (562) 865-6160

18502 Gridley Rd
Artesia, CA 90701-5436

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients
South Coast Family Medicine, Inc Family Medicine PastSince Nov 6, 2011 Accepting new patients
South Coast Urgent Care Center, Inc PastSince Jan 12, 2025 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cozy Comfort Care Hospice IncTujunga, CA, CCN B51683 Hospice Contracted Managing Employee Sep 6, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1235165507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18502 GRIDLEY RD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015436",
            "telephone_number": "562-865-6160",
            "fax_number": "562-468-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18502 GRIDLEY RD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015436",
            "telephone_number": "562-865-6160",
            "fax_number": "562-468-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKUS",
        "first_name": "BRIAN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX58970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

Verify at the official NPI Registry.