NPIMap

Individual provider Active NPI

Minh Canh DO, M.D.

  • Nephrology Physician
  • Santa Ana, CA
National Provider Identifier
1619964368
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A45092 Issued in CA
Practice address
4718 W 1St St Unit 100
Santa Ana, CA 92703-5132
Phone
(714) 408-0488
Fax
(714) 418-1086
NPI assigned
Sep 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A45092 CA Primary

Addresses

Primary practice location

4718 W 1St St Unit 100
Santa Ana, CA 92703-5132

Mailing address

4718 W 1St St Unit 100
Santa Ana, CA 92703-5132
Phone (714) 408-0488

Other identifiers 1

IdentifierTypeStateIssuer
00A450920MedicaidCA

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
I20040131000131 CA Practitioner - Internal MedicinePractitioner - Nephrology 8325941735 Practice locations: Santa Ana, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4718 W 1St St
Suite 100
Santa Ana, CA 92703-3106
Phone (714) 418-0488

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.09 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
90.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 9

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": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1619964368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 W 1ST ST UNIT 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927035132",
            "telephone_number": "714-408-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 W 1ST ST UNIT 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927035132",
            "telephone_number": "714-408-0488",
            "fax_number": "714-418-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "MINH",
        "middle_name": "CANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A45092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A450920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.