Individual provider Active NPI

Minette Lagman, DO

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1740911023
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A22203 Issued in CA
Practice address
1321 E 1St St
Los Angeles, CA 90033-3217
Phone
(323) 541-1411
Fax
(213) 873-5695
NPI assigned
Jun 18, 2022
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A22203 CA Primary

Addresses

Primary practice location

1321 E 1St St
Los Angeles, CA 90033-3217

Mailing address

1321 E 1St St
Los Angeles, CA 90033-3217
Phone (323) 541-1411

Other practice location 1

444 S Mathews St
Los Angeles, CA 90033-4326
Phone (323) 541-1411

Other names 1

  • Minette Malinao Former name

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
I20250912002933 CA Practitioner - Family Practice 7517460637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John's Community HealthGroup PAC ID 2961482690, 151 clinicians

Practice addresses (Care Compare)

1321 E 1St St
Los Angeles, CA 90033-3217
Phone (323) 541-1600

444 S Mathews St
Los Angeles, CA 90033-4326
Phone (323) 541-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A22203CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Sep 8, 2025 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Sep 8, 2025 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1321 E 1st St
Los Angeles, CA 90033

444 S Mathews St
Los Angeles, CA 90033
Phone (323) 541-1400

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: minette.lagman.1@24668.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1740911023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333217",
            "telephone_number": "323-541-1411",
            "fax_number": "323-541-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333217",
            "telephone_number": "323-541-1411",
            "fax_number": "213-873-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 S Mathews St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900334326",
            "country_code": "US",
            "telephone_number": "323-541-1411",
            "fax_number": "323-285-9870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGMAN",
        "first_name": "MINETTE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A22203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINETTE",
            "last_name": "MALINAO",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.