Active NPI
Mina Kazemian, DO
- Anesthesiology Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A17621
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343
Hospital & facility affiliations
- Corona Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17621 | CA | MD | Anesthesiology Physician |
| 17621 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khan Anesthesia Critical Care and Pain Medicine Inc | Anesthesiology | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Anesthesia Partners Inc | Anesthesiology | Current | Accepting new patients |
| Palomar Anesthesia Partners Inc | Anesthesiology | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Crystal Anesthesiology Inc | Anesthesiology | Current | Accepting new patients |
| Corona Anesthesia Group, Inc. | Anesthesiology | Current | Accepting new patients |
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| West Coast Anesthesia Inc a Medical Group | Anesthesiology | Current | 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
- 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.
-
- Anesthesiology Physician
- Corona, CA
- NPI 1558865840
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
-
- Anesthesiology Physician
- Orange, CA
- NPI 1285320580
-
- Anesthesiology Physician
- Newport Beach, CA
- NPI 1083470900
-
- Anesthesiology Physician
- Escondido, CA
- NPI 1174490445
-
- Anesthesiology Physician
- Riverside, CA
- NPI 1700694262
-
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
-
- Anesthesiology Physician
- Laguna Hills, CA
- NPI 1972634020
-
- Family Medicine Physician
- Riverside, CA
- NPI 1639274319
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corona, CA
- NPI 1457347239
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.