Active NPI
Minn Soe, M.D.
- Anesthesiology Physician
- Montclair, CA
National Provider Identifier
1396759643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A29967
- Practice address
- 5000 San Bernardino St
Montclair, CA 91763-2326 - Phone
- (909) 626-9922
- Fax
- (909) 399-9494
- NPI assigned
- Jul 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A29967 | CA | Primary |
Addresses
Primary practice location
5000 San Bernardino St
Montclair, CA 91763-2326
Mailing address
14029 Giant Forest Loop
Chino Hills, CA 91709-1518
Phone (909) 626-9922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A29967 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jui Kuang Lin, M. D. Inc | Anesthesiology | Past | Accepting new patients |
| Diamond Anesthesia Consultants | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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
- Ontario, CA
- NPI 1770598294
-
- Anesthesiology Physician
- Ontario, CA
- NPI 1518271147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396759643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14029 GIANT FOREST LOOP",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917091518",
"telephone_number": "909-626-9922",
"fax_number": "909-399-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SAN BERNARDINO ST",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632326",
"telephone_number": "909-626-9922",
"fax_number": "909-399-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOE",
"first_name": "MINN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A29967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.