Active NPI
Daniel Min
- Physical Therapist
- Santa Cruz, CA
National Provider Identifier
1629407127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40670
- Practice address
- 548 Ocean St
Santa Cruz, CA 95060-6602 - Phone
- (831) 423-0755
- NPI assigned
- Nov 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40670 | CA | Primary |
Addresses
Primary practice location
548 Ocean St
Santa Cruz, CA 95060-6602
Mailing address
548 Ocean St
Santa Cruz, CA 95060-6602
Phone (831) 423-0755
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40670 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1629407127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 OCEAN ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950606602",
"telephone_number": "831-423-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 OCEAN ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950606602",
"telephone_number": "831-423-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-05",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.