Individual provider Active NPI

Laila Farhad Minocher Contractor, M.D.

  • Child & Adolescent Psychiatry Physician
  • Irvine, CA
National Provider Identifier
1619149267
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A107112 Issued in CA
Practice address
16220 Scientific
Irvine, CA 92618-4349
Phone
(949) 528-4413
NPI assigned
Mar 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A107112 CA Primary

Addresses

Primary practice location

16220 Scientific
Irvine, CA 92618-4349

Mailing address

27762 Antonio Pkwy Ste L1-634
Ladera Ranch, CA 92694-1140
Phone (626) 825-9464

Other identifiers 1

IdentifierTypeStateIssuer
A107112OtherCASTATE OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2022 through Oct 1, 2026

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1619149267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27762 ANTONIO PKWY STE L1-634",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941140",
            "telephone_number": "626-825-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 SCIENTIFIC",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184349",
            "telephone_number": "949-528-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRACTOR",
        "first_name": "LAILA",
        "middle_name": "FARHAD MINOCHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A107112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS",
            "identifier": "A107112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.