Minkus Family Medicine a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5897 Issued in CA

Legal business name

MINKUS FAMILY MEDICINE A MEDICAL CORPORATION

Practice address

18502 Gridley Road
Artesia, CA 90701-5436

Phone

(562) 865-6160

Fax

(562) 468-4315

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Lee Minkus, D.O.NPI 1235165507

Title

Family Practice

Phone

(562) 865-6160

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• brian l minkus Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian L Minkus, D.O.

  • Family Medicine Physician
  • Artesia, CA
  • NPI 1235165507
  Medicare reassignment Authorized official
• Roxana P Minkus, D.O

  • General Practice Physician
  • Santa Ana, CA
  • NPI 1184669871

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1427175082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18502 GRIDLEY ROAD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015436",
            "telephone_number": "562-865-6160",
            "fax_number": "562-468-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18502 GRIDLEY ROAD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015436",
            "telephone_number": "562-865-6160",
            "fax_number": "562-468-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINKUS FAMILY MEDICINE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "MINKUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "562-865-6160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX58970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brian l minkus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mercy Health
• Michael H. Lee, D.D.S., Inc
• Michelle C Chu D.D.S. Inc
• Midomar Homes Inc.
• Ming Hwa Su D.D.S, Inc
• Brian L Minkus, D.O.
• Taylor Miranda
• Lacey Lynn Mojarro
• Donn Henry Moon III
• Carla Marie Morales

• Family Medicine Physician in Artesia, CA
• Providers in Artesia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.