Active NPI
Berj K Minasakanian, MD
- Emergency Medicine Physician
- Santa Ana, CA
National Provider Identifier
1861426850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A29869
- Practice address
- 2701 S Bristol St
Santa Ana, CA 92704-0240 - Phone
- (714) 754-5454
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A29869 | CA | Primary |
Addresses
Primary practice location
2701 S Bristol St
Santa Ana, CA 92704-0240
Mailing address
PO Box 20020
Fountain Valley, CA 92728-0020
Phone (562) 809-3564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A298690 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A29869 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| Acute Care Medical Coastal | Emergency Medicine | Past | Accepting new patients |
| Continuum Medical Associates,a Professional Medical Corporation | Emergency Medicine | Past | Accepting new patients |
Locations
16453 Colorado Ave
Paramount, CA 90723
Phone (562) 408-7427
2224 Medical Center Dr
Perris, CA 92571
Phone (951) 436-3460
1901 College Ave
Santa Ana, CA 92706
Phone (714) 564-7800
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.
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- Emergency Medicine Physician
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- NPI 1003869090
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Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223856000000",
"number": "1861426850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20020",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927280020",
"telephone_number": "562-809-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 S BRISTOL ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927040240",
"telephone_number": "714-754-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINASAKANIAN",
"first_name": "BERJ",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2008-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A29869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A298690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.