Saori Minami, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA53166 Issued in CA

Practice address

1212 S Bristol St Ste 16
Santa Ana, CA 92704-3439

Phone

(714) 966-0646

NPI assigned

Mar 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bristol McFadden Medical Group,Inc.

  • Pediatrics Physician
  • Santa Ana, CA
  • NPI 1003902610
  NPD (past)
• Pediatric Subspecialty Faculty, Inc.

  • Pediatrics Physician
  • Orange, CA
  • NPI 1790850279
  NPD (past)

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1790146983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S BRISTOL ST STE 16",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S BRISTOL ST STE 16",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043439",
            "telephone_number": "714-966-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAMI",
        "first_name": "SAORI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Mills, RN
• Byung Taek Min, DDS
• Christine Min
• Michelle Hui Min, OTR
• Subin Min
• Berj K Minasakanian, MD
• Cristina V Minchala, MFT
• Mindful Home Health
• Mine 2 Care Corporation
• Betty Minehan, PSYD,MED,MHS,MBA,MA,

• Physician Assistant in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.