Organization Active NPI

Gregory a. Minevich M.D. Professional Corp

  • Obstetrics & Gynecology Physician
  • Hayward, CA
National Provider Identifier
1538482286
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A93150 Issued in CA
Legal business name
GREGORY A. MINEVICH M.D. PROFESSIONAL CORP
Practice address
1290 B St Ste 305
Hayward, CA 94541-2967
Phone
(510) 582-8281
Fax
(510) 582-4557
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Mrs. Monika L King
Title
Office Manager
Phone
(510) 582-8281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A93150 CA Primary

Addresses

Primary practice location

1290 B St Ste 305
Hayward, CA 94541-2967

Mailing address

1290 B St Ste 305
Hayward, CA 94541-2967
Phone (510) 582-8281

National Provider Directory

National Provider Directory

Locations

1290 B St
Ste 305
Hayward, CA 94541
Phone (510) 582-8281

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1538482286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 B ST STE 305",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412967",
            "telephone_number": "510-582-8281",
            "fax_number": "510-582-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 B ST STE 305",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412967",
            "telephone_number": "510-582-8281",
            "fax_number": "510-582-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A. MINEVICH M.D. PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-582-8281",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A93150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.