NPIMap

Individual provider Active NPI

Mindy Kaye Bixby, D.O.

  • Neurology Physician
  • Aliso Viejo, CA
National Provider Identifier
1508012139
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
00034344 Issued in DC
Practice address
26671 Aliso Creek Rd Ste 203
Aliso Viejo, CA 92656-4810
Phone
(949) 397-9205
Fax
(949) 955-7259
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 00034344 DC Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 20A12872 CA

Addresses

Primary practice location

26671 Aliso Creek Rd Ste 203
Aliso Viejo, CA 92656-4810

Mailing address

350 Forest Ave #4258
Laguna Beach, CA 92652-2095
Phone (949) 397-9205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131210001163 CA Practitioner - Neurology 8527295922 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Niguel, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

30131 Town Ctr Dr
Suite 215
Laguna Niguel, CA 92677-2033
Phone (714) 895-8614

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12872CAMDNeurology Physician
00034344DCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Multi-Specialty CurrentSince Aug 1, 2019 Accepting new patients
Scripps Health CurrentSince Aug 1, 2019 Accepting new patients
Scripps Health Multi-Specialty Current Accepting new patients
Hoag Hospital Past Accepting new patients
Hoag Clinic Multi-Specialty PastSince Nov 11, 2024 Accepting new patients

Locations

9898 Genesee Ave
La Jolla, CA 92037
Phone (858) 824-5222

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mbixby320292@scrippshlth.medalliesdirect.net
  • Direct secure messaging: drmindybixby@oceanneurology.kareodirect.com
  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1508012139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FOREST AVE #4258",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926522095",
            "telephone_number": "949-397-9205",
            "fax_number": "949-955-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD STE 203",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564810",
            "telephone_number": "949-397-9205",
            "fax_number": "949-955-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIXBY",
        "first_name": "MINDY",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "00034344",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A12872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.