Active NPI
Arash Minaie, DO
- Pulmonary Disease Physician
- Santa Rosa, CA
National Provider Identifier
1649538786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 20A16216
- Practice address
- 34 Mark West Springs Rd Ste 310
Santa Rosa, CA 95403-1783 - Phone
- (707) 573-5261
- Fax
- (707) 573-5414
- NPI assigned
- Apr 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 20A16216 | CA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 20A16216 | CA | |
| Internal Medicine Physician | 207R00000X | Q4811 | TX |
Addresses
Primary practice location
34 Mark West Springs Rd Ste 310
Santa Rosa, CA 95403-1783
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (707) 573-5261
Other practice location 1
2450 Ashby Ave Ste 5505
Berkeley, CA 94705-2067
Phone (510) 204-4444
Other practice location 2
7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 985-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A16216 | Other | CA | STATE MEDICAL LICENSE |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q4811 | TX | MD | Internal Medicine Physician |
| 20A16216 | CA | MD | Pulmonary Disease Physician |
| 16216 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1649538786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "707-573-5261",
"fax_number": "707-573-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MARK WEST SPRINGS RD STE 310",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954031783",
"telephone_number": "707-573-5261",
"fax_number": "707-573-5414"
}
],
"practiceLocations": [
{
"address_1": "2450 Ashby Ave Ste 5505",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947052067",
"country_code": "US",
"telephone_number": "510-204-4444",
"fax_number": "510-649-8287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7101 S Padre Island Dr",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784124913",
"country_code": "US",
"telephone_number": "361-985-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINAIE",
"first_name": "ARASH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-26",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "20A16216",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "20A16216",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q4811",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "20A16216",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.