Individual provider Active NPI

Minal Gunvantray Mehta, M.D.

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
National Provider Identifier
1780787580
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A79701 Issued in CA
Practice address
8700 Warner Ave
Suite 160
Fountain Valley, CA 92708-3207
Phone
(714) 848-2383
Fax
(714) 848-4083
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A79701 CA Primary

Addresses

Primary practice location

8700 Warner Ave
Suite 160
Fountain Valley, CA 92708-3207

Mailing address

2781 W Macarthur Blvd
B365
Santa Ana, CA 92704-8300
Phone (714) 848-2383

Other identifiers 1

IdentifierTypeStateIssuer
00A797010MedicaidCA

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
I20090922000244 CA Practitioner - Obstetrics/Gynecology 3577619253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18111 Brookhurst St
Suite 4450
Fountain Valley, CA 92708-6728
Phone (714) 848-2383

Hospital & facility affiliations

  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79701CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minal Mehta MD a Professional Corporation Obstetrics & Gynecology CurrentSince Oct 22, 2015 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Mar 1, 2023 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

18111 Brookhurst St
Ste 4450
Fountain Vly, CA 92708
Phone (714) 848-2383

8700 Warner Ave
Ste 160
Fountain Vly, CA 92708
Phone (714) 848-2383

18111 Brookhurst St
#4450
Fountain Vly, CA 92708
Phone (714) 848-2383

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mmehtamd75638@direct.memorialcare.org

Organizations & group practices 5

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 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1780787580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 W MACARTHUR BLVD",
            "address_2": "B365",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927048300",
            "telephone_number": "714-848-2383",
            "fax_number": "714-848-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 WARNER AVE",
            "address_2": "SUITE 160",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083207",
            "telephone_number": "714-848-2383",
            "fax_number": "714-848-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MINAL",
        "middle_name": "GUNVANTRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A79701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A797010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.