Organization Active NPI

Mary Ann Miner, M.D., Inc.

  • Health Service Clinic/Center
  • San Mateo, CA
National Provider Identifier
1841452539
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MARY ANN MINER, M.D., INC.
Doing business as
Mary Ann Miner, M.D., Inc
Practice address
520 S El Camino Real
Suite 204
San Mateo, CA 94402-1726
Phone
(650) 348-9800
Fax
(650) 401-8514
NPI assigned
Jun 25, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mary Ann Miner, M.D.
Title
President
Phone
(650) 401-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

520 S El Camino Real
Suite 204
San Mateo, CA 94402-1726

Mailing address

520 S El Camino Real
Suite 204
San Mateo, CA 94402-1726
Phone (650) 348-9800

Other names 1

  • Mary Ann Miner, M.D., Inc Doing business as

National Provider Directory

National Provider Directory

Locations

520 S El Camino Real
Ste 204
San Mateo, CA 94402
Phone (650) 348-9800

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1841452539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S EL CAMINO REAL",
            "address_2": "SUITE 204",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021726",
            "telephone_number": "650-348-9800",
            "fax_number": "650-401-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EL CAMINO REAL",
            "address_2": "SUITE 204",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021726",
            "telephone_number": "650-348-9800",
            "fax_number": "650-401-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN MINER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-401-8513",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Ann Miner, M.D., Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.