Individual provider Active NPI

Hommed Minaei, DC

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1245820935
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36191 Issued in CA
Practice address
1011 W la Palma Ave Ste 101
Anaheim, CA 92801-3661
Phone
(714) 758-8777
NPI assigned
Jan 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010479 GA
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 36191 CA Primary

Addresses

Primary practice location

1011 W la Palma Ave Ste 101
Anaheim, CA 92801-3661

Mailing address

1011 W la Palma Ave Ste 101
Anaheim, CA 92801-3661
Phone (413) 687-9245

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drminaei@cloverspine.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220908003397 CA Practitioner - Chiropractic 4082013024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36191CAMDMarriage & Family Therapist
CHIR010479GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A C Urgent Care Inc Chiropractor PastSince Mar 13, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1245820935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W LA PALMA AVE STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013661",
            "telephone_number": "413-687-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W LA PALMA AVE STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013661",
            "telephone_number": "714-758-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAEI",
        "first_name": "HOMMED",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2022-03-05",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010479",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drminaei@cloverspine.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1011 W La Palma Ave Ste 101",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928013661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.