Individual provider Active NPI

Haig V Minassian, M.D.

  • Neurological Surgery Physician
  • Whittier, CA
National Provider Identifier
1720003098
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G25816 Issued in CA
Practice address
12291 Washington Blvd
Suite 102
Whittier, CA 90606-2500
Phone
(562) 698-0679
Fax
(562) 698-5046
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G25816 CA Primary

Addresses

Primary practice location

12291 Washington Blvd
Suite 102
Whittier, CA 90606-2500

Mailing address

12291 Washington Blvd
Suite 102
Whittier, CA 90606-2500
Phone (562) 696-9265

Other identifiers 1

IdentifierTypeStateIssuer
00G258161MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000546 CA Practitioner - Neurosurgery 4284733361 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G25816CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simi Valley Anesthesia Medical Group CurrentSince Aug 11, 2024 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Dignity Community Care Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Christopher J. Aho, M.D., Inc Neurological Surgery Past Accepting new patients

Locations

1920 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 306-8800

2750 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 955-6000

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

550 Saint Charles Dr
Ste 101
Thousand Oaks, CA 91360
Phone (805) 557-7050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1720003098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD",
            "address_2": "SUITE 102",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062500",
            "telephone_number": "562-696-9265",
            "fax_number": "877-887-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD",
            "address_2": "SUITE 102",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062500",
            "telephone_number": "562-698-0679",
            "fax_number": "562-698-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINASSIAN",
        "first_name": "HAIG",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G25816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G258161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.