NPIMap

Individual provider Active NPI

Isaac M Minehart, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Arcadia, CA
National Provider Identifier
1639167091
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A44356 Issued in CA
Practice address
638 W Duarte Rd
Suite 18
Arcadia, CA 91007-7616
Phone
(626) 445-2371
Fax
(626) 445-2618
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A44356 CA
Interventional Pain Medicine Physician 208VP0014X A44356 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A44356 CA Primary

Addresses

Primary practice location

638 W Duarte Rd
Suite 18
Arcadia, CA 91007-7616

Mailing address

PO Box 1464
Arcadia, CA 91077-1464
Phone (626) 445-2371

Other identifiers 1

IdentifierTypeStateIssuer
00A443561MedicaidCA

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
I20120604000041 CA Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 0547226409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

638 W Duarte Rd
Suite 18
Arcadia, CA 91007-9200
Phone (626) 445-2371

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minehart Medical Corporation CurrentSince Sep 1, 2004 Accepting new patients

Locations

16250 Ventura Blvd
Ste 165
Encino, CA 91436
Phone (818) 784-3125

Organizations & group practices 2

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 5

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1639167091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1464",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910771464",
            "telephone_number": "626-445-2371",
            "fax_number": "626-445-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W DUARTE RD",
            "address_2": "SUITE 18",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077616",
            "telephone_number": "626-445-2371",
            "fax_number": "626-445-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEHART",
        "first_name": "ISAAC",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44356",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A44356",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A44356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A443561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.