Maureen D Miner M D a Professional Corporation

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

MAUREEN D MINER M D A PROFESSIONAL CORPORATION

Practice address

7888 Wren Ave Ste D143
Gilroy, CA 95020-4966

Phone

(408) 842-9296

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Maureen Miner, M.D.NPI 1992746960

Title

Ceo

Phone

(408) 842-9296

Specialties & licenses 1

Addresses

Other names 1

• South County Pain & Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen D Miner, M.D.

  • Rehabilitation Practitioner
  • Gilroy, CA
  • NPI 1992746960
  Medicare reassignment Authorized official
• Melinda Alison Brown, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gilroy, CA
  • NPI 1689628943
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1811934607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1812",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950381812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7888 WREN AVE STE D143",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204966",
            "telephone_number": "408-842-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN D MINER M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-842-9296",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Pain & Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South County Pain & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lesly Gabriela Matias Chamorro
• Selena Edith Matias
• Kristi Matsuoka
• Andrew James Matthews, M.D.
• Libby Ann Matulich
• Rebecah Daniela Ruiz Mayorga
• Mary McCafferty, N.P.
• Jamie Elizabeth McCarthy
• Morgan McConnell
• Alyssia McCrae

• Rehabilitation Practitioner in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.