Minehart Medical Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MINEHART MEDICAL CORPORATION

Doing business as

Encino Surgical Medical Center

Practice address

16250 Ventura Blvd Ste 165
Encino, CA 91436-2273

Phone

(818) 784-3125

Fax

(818) 784-3126

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Isaac Michael Minehart, MDNPI 1639167091

Title

Medical Director

Phone

(818) 784-3125

Specialties & licenses 1

Addresses

Other names 1

• Encino Surgical Medical Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001685

Legal name

ENCINO SURGICAL MEDICAL CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 12, 2004

Last certification

Jun 8, 2018

Ownership / control type

Government

Facility address

16250 Ventura Boulevard, Suite #165
Encino, CA 91436

Practitioners 1

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

• Isaac M Minehart, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Arcadia, CA
  • NPI 1639167091
  NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1437219276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1464",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910771464",
            "telephone_number": "818-784-3125",
            "fax_number": "818-784-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 VENTURA BLVD STE 165",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362273",
            "telephone_number": "818-784-3125",
            "fax_number": "818-784-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINEHART MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "MINEHART",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-784-3125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino Surgical Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Encino Surgical Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ofek Miller, DPT
• Paul Millman, D.D.S.
• Ruslan Mimer, DPT
• Maryamm Mina
• Mindspace NP
• Robert Louis Ming, M.D.
• Danielle Kristine Minner
• Maxine Mintzer
• Miracle Board and Care&Asssisted Living
• Miracle Mile Medical Center

• Ambulatory Surgical Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.