South Coast Family Medicine, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOUTH COAST FAMILY MEDICINE, INC

Practice address

2650 S Bristol St
105
Santa Ana, CA 92704-5751

Phone

(714) 800-1919

Fax

(714) 800-1924

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roxana P Minkus, D.O.NPI 1184669871

Title

Family Practice

Phone

(714) 800-1919

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• South Coast Urgent Care Center, Inc

  • Urgent Care Clinic/Center
  • Santa Ana, CA
  • NPI 1841000320
  NPPES parent name

Practitioners 2

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

• Roxana P Minkus, D.O

  • General Practice Physician
  • Santa Ana, CA
  • NPI 1184669871

  Family Medicine

  Medicare reassignment NPD Authorized official
• Brian L Minkus, D.O.

  • Family Medicine Physician
  • Artesia, CA
  • NPI 1235165507
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1821115817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 S BRISTOL ST",
            "address_2": "105",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045751",
            "telephone_number": "714-800-1919",
            "fax_number": "714-800-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S BRISTOL ST",
            "address_2": "105",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045751",
            "telephone_number": "714-800-1919",
            "fax_number": "714-800-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "MINKUS",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "714-800-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX66720A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soul Restoration Project
• Jennifer Soung, M.D.
• Sous-Dey Speech Therapy
• Adriana Marie Sousa
• South Coast Acupuncture, Inc.
• South Coast Global Medical Center, Inc
• South Coast Global Medical Center, Inc
• South Coast Global Medical Center, Inc
• South Coast Hospice Services,Inc.
• South Coast Orthopedics

• Primary Care Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.