Individual provider Active NPI

James Minnis, M.D.

  • Surgery Physician
  • Larkspur, CA
National Provider Identifier
1417169954
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
125-049901 Issued in IL
Practice address
5 Bon Air Rd
Suite 101
Larkspur, CA 94939-1143
Phone
(415) 924-2514
Fax
(415) 924-2661
NPI assigned
May 4, 2007
Last updated
Sep 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125-049901 IL Primary

Addresses

Primary practice location

5 Bon Air Rd
Suite 101
Larkspur, CA 94939-1143

Mailing address

5 Bon Air Rd
Suite 101
Larkspur, CA 94939-1143
Phone (415) 924-2514

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
I20121009000560 CA Practitioner - General Surgery 4284883141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Meharry Medical College School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

2495 Hospital Dr
Suite 450
Mountain View, CA 94040-4171
Phone (408) 871-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)16
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-049901ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF Surgery CurrentSince Nov 26, 2018 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Aug 15, 2024 Accepting new patients
Prima Medical Foundation CurrentSince Sep 1, 2012 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Marin General Hospital Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Michael E Kan MD PastSince Aug 15, 2024 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

5 Bon Air Rd
Ste 101
Larkspur, CA 94939
Phone (415) 924-1214

320 Dardanelli Ln
Ste 22
Los Gatos, CA 95032
Phone (408) 374-3950

700 W Parr Ave
Ste A
Los Gatos, CA 95032
Phone (408) 356-3178

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

16130 Juan Hernandez Dr
Ste 100
Morgan Hill, CA 95037
Phone (408) 412-8100

2495 Hospital Dr
Ste 450
Mountain View, CA 94040
Phone (650) 694-3870

2495 Hospital Dr
Ste 460
Mountain View, CA 94040
Phone (650) 962-4370

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: jminnis106739@direct-ucsfmedicalcenter.org
  • Direct secure messaging: jminnis172300@icare.elcaminohospital.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1417169954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD",
            "address_2": "SUITE 101",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391143",
            "telephone_number": "415-924-2514",
            "fax_number": "415-924-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD",
            "address_2": "SUITE 101",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391143",
            "telephone_number": "415-924-2514",
            "fax_number": "415-924-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNIS",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125-049901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.