Active NPI
Hommed Minaei, DC
- Chiropractor
- Anaheim, CA
National Provider Identifier
1245820935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010479 | GA | |
| Chiropractor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drminaei@cloverspine.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220908003397 | CA | Practitioner - Chiropractic | 4082013024 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36191 | CA | MD | Marriage & Family Therapist |
| CHIR010479 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A C Urgent Care Inc | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- 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.