Individual provider Active NPI

Minahal Naveed

  • Radiation Oncology Physician
  • Sacramento, CA
National Provider Identifier
1356099592
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A197979 Issued in CA
Practice address
4501 X St # G0140
Sacramento, CA 95817-2229
Phone
(916) 734-8688
Fax
(916) 703-5069
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X A197979 CA Primary
Internal Medicine Physician 207R00000X 57.255243 OH

Addresses

Primary practice location

4501 X St # G0140
Sacramento, CA 95817-2229

Mailing address

4501 X St # G0140
Sacramento, CA 95817-2229
Phone (916) 734-8688

Other practice location 1

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 293-1438

Other practice location 2

37 Carriage Ln
Bridgeport, WV 26330-1344
Phone (304) 844-8142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230711002467 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6305205139
I20241017004378 CA Order and Referring Only - Radiation OncologyPractitioner - Radiation Oncology 6305205139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A197979CAMDRadiation Oncology Physician

Interoperability endpoints

  • Direct secure messaging: mnaveed1858650@direct.bsmhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1356099592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 X ST # G0140",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172229",
            "telephone_number": "916-734-8688",
            "fax_number": "916-703-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 X ST # G0140",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172229",
            "telephone_number": "916-734-8688",
            "fax_number": "916-703-5069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265061200",
            "country_code": "US",
            "telephone_number": "304-293-1438",
            "fax_number": "304-293-7814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Carriage Ln",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263301344",
            "country_code": "US",
            "telephone_number": "304-844-8142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVEED",
        "first_name": "MINAHAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A197979",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.255243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.