Active NPI
Robert A Minow, M.D.
- Specialist
- Los Alamitos, CA
National Provider Identifier
1609944248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G20754
- Practice address
- 3801 Katella Ave
Suite # 207
Los Alamitos, CA 90720-3338 - Phone
- (562) 598-9745
- Fax
- (562) 430-8707
- NPI assigned
- Dec 1, 2006
- Reactivated
- Sep 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G20754 | CA | |
| Specialist | 174400000X | G20754 | CA | Primary |
Addresses
Primary practice location
3801 Katella Ave
Suite # 207
Los Alamitos, CA 90720-3338
Mailing address
3801 Katella Ave
Suite # 207
Los Alamitos, CA 90720-3338
Phone (562) 598-9745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G20754 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1609944248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 KATELLA AVE",
"address_2": "SUITE # 207",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203338",
"telephone_number": "562-598-9745",
"fax_number": "562-430-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 KATELLA AVE",
"address_2": "SUITE # 207",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203338",
"telephone_number": "562-598-9745",
"fax_number": "562-430-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOW",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2012-09-26",
"deactivation_date": "2011-05-02",
"reactivation_date": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G20754",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G20754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.