Individual provider Active NPI

Haena Min

  • Internal Medicine Physician
  • Temecula, CA
National Provider Identifier
1437387792
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A125710 Issued in CA
Practice address
44045 Margarita Rd Ste 103
Temecula, CA 92592-2729
Phone
(951) 880-0701
NPI assigned
Jun 25, 2009
Reactivated
Apr 24, 2025
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A125710 CA Primary

Addresses

Primary practice location

44045 Margarita Rd Ste 103
Temecula, CA 92592-2729

Mailing address

44045 Margarita Rd Ste 101
Temecula, CA 92592-2729
Phone (951) 880-0701

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
I20140203000929 CA Practitioner - HospitalistPractitioner - Internal Medicine 0648422733 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Boston University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temecula Valley Hospitalist Medical Group IncGroup PAC ID 8224252630, 26 clinicians
Innovative Wound Solutions IncGroup PAC ID 0446758858, 26 clinicians
Innovative Medical GroupGroup PAC ID 1759797251, 9 clinicians
Innovative Extensivist Group PCGroup PAC ID 4981106911, 4 clinicians

Practice addresses (Care Compare)

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

44045 Margarita Rd
Suite 101
Temecula, CA 92592-2729

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Improvement activities
40
Cost
84.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A125710CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Wound Solutions Inc Internal Medicine CurrentSince Aug 28, 2025 Accepting new patients
Innovative Extensivist Group PC Internal Medicine CurrentSince Aug 15, 2025 Accepting new patients
Innovative Medical Specialties Inc Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

44045 Margarita Rd
Ste 101
Temecula, CA 92592
Phone (951) 302-1122

Organizations & group practices 5

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 6

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1437387792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922729",
            "telephone_number": "951-880-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922729",
            "telephone_number": "951-880-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "HAENA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "deactivation_date": "2025-04-01",
        "reactivation_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A125710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.