Organization Active NPI

Minal Mehta MD a Professional Corporation

Doing business as Socal Obgyn

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
National Provider Identifier
1629268073
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A79701 Issued in CA
Legal business name
MINAL MEHTA MD A PROFESSIONAL CORPORATION
Doing business as
Socal Obgyn
Practice address
18111 Brookhurst St
#4450
Fountain Valley, CA 92708
Phone
(714) 848-2383
Fax
(714) 848-4083
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Mr. Minal Gunvantray Mehta, MDNPI 1780787580
Title
President
Phone
(714) 848-2383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A79701 CA Primary

Addresses

Primary practice location

18111 Brookhurst St
#4450
Fountain Valley, CA 92708

Mailing address

18111 Brookhurst St
#4450
Fountain Valley, CA 92708
Phone (714) 848-2383

Other identifiers 1

IdentifierTypeStateIssuer
00A797010MedicaidCA

Other names 1

  • Socal Obgyn Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090922000259 CA Part B Supplier - Clinic/Group Practice 0749336428 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

18111 Brookhurst St
#4450
Fountain Vly, CA 92708
Phone (714) 848-2383

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1629268073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "#4450",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-848-2383",
            "fax_number": "714-848-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "#4450",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-848-2383",
            "fax_number": "714-848-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINAL MEHTA MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "MINAL",
        "authorized_official_middle_name": "GUNVANTRAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-848-2383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A79701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A797010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Socal Obgyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.