Individual provider Active NPI

Mina Kazemian, DO

  • Anesthesiology Physician
  • Corona, CA
National Provider Identifier
1306330063
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A17621 Issued in CA
Practice address
800 S Main St
Corona, CA 92882-3420
Phone
(951) 737-4343
NPI assigned
Jun 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A17621 CA Primary

Addresses

Primary practice location

800 S Main St
Corona, CA 92882-3420

Mailing address

800 S Main St
Corona, CA 92882-3420

Other practice location 1

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4560

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220000780 CA Practitioner - Anesthesiology 1052780707 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corona Anesthesia Group IncGroup PAC ID 7416212576, 27 clinicians

Practice addresses (Care Compare)

800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343

Hospital & facility affiliations

  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17621CAMDAnesthesiology Physician
17621CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Khan Anesthesia Critical Care and Pain Medicine Inc Anesthesiology CurrentSince Sep 18, 2025 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Jun 19, 2024 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Jun 19, 2024 Accepting new patients
Riverside Anesthesia Partners Inc Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Palomar Anesthesia Partners Inc Anesthesiology CurrentSince Feb 1, 2026 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Crystal Anesthesiology Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Corona Anesthesia Group, Inc. Anesthesiology CurrentSince Aug 10, 2022 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Nov 16, 2024 Accepting new patients
West Coast Anesthesia Inc a Medical Group Anesthesiology CurrentSince Mar 15, 2025 Accepting new patients

Locations

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

3501 Jamboree Rd
Ste 1200
Newport Beach, CA 92660
Phone (949) 988-7800

20360 SW Birch St
Ste 110
Newport Beach, CA 92660
Phone (562) 292-8705

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

681 S Parker St
Orange, CA 92868
Phone (714) 744-0439

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714

7160 Brockton Ave
Fl 2
Riverside, CA 92506
Phone (951) 782-3837

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone (951) 782-5157

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Interoperability endpoints

  • Direct secure messaging: mkazemian746194@direct.memorialcare.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1306330063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823420",
            "telephone_number": "951-737-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26520 Cactus Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925553927",
            "country_code": "US",
            "telephone_number": "951-486-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZEMIAN",
        "first_name": "MINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A17621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.