Individual provider Active NPI

Arash Minaie, DO

  • Pulmonary Disease Physician
  • Santa Rosa, CA
National Provider Identifier
1649538786
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20A16216 Issued in CA
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

Updated by the provider on May 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20A16216OtherCASTATE 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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4811TXMDInternal Medicine Physician
20A16216CAMDPulmonary Disease Physician
16216CAMDOccupational 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

Verify at the official NPI Registry.