Individual provider Active NPI

Daniel Emina, M.D.

  • Psychiatry Physician
  • Costa Mesa, CA
National Provider Identifier
1861633786
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A132300 Issued in CA
Practice address
3150 Bristol St Ste 400
Costa Mesa, CA 92626
Phone
(949) 266-3700
Fax
(949) 266-3750
NPI assigned
Mar 24, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2014 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
132300CAMDMarriage & Family Therapist
A132300CAMDPsychiatry Physician
MD17113HIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amen Clinics, Inc PastSince Oct 27, 2019 Accepting new patients
Amen Clinics, Inc Walnut Creek Past Accepting new patients

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD17113 HI
Child & Adolescent Psychiatry Physician 2084P0804X A132300 CA
Child & Adolescent Psychiatry Physician 2084P0804X MD17113 HI
Psychiatry Physician 2084P0800X A132300 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3150 Bristol St Ste 400
Costa Mesa, CA 92626

Mailing address

3150 Bristol St Ste 400
Costa Mesa, CA 92626-3054
Phone (949) 266-3700

Other practice location 1

1000 Marina Blvd Ste 100
Brisbane, CA 94005-1839
Phone (650) 416-7830

Other practice location 2

3150 Bristol St Ste 400
Costa Mesa, CA 92626
Phone (949) 266-3700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2019.

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1861633786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 BRISTOL ST STE 400",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263054",
            "telephone_number": "949-266-3700",
            "fax_number": "949-266-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 BRISTOL ST STE 400",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "949-266-3700",
            "fax_number": "949-266-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Marina Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brisbane",
            "state": "CA",
            "postal_code": "940051839",
            "country_code": "US",
            "telephone_number": "650-416-7830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3150 Bristol St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "92626",
            "country_code": "US",
            "telephone_number": "949-266-3700",
            "fax_number": "949-266-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMINA",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD17113",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A132300",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "MD17113",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A132300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.