Individual provider Active NPI

Irene Minkowsky, M.D.

  • Specialist
  • San Francisco, CA
National Provider Identifier
1942391578
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A36340 Issued in CA
Practice address
2000 Van Ness Ave
305
San Francisco, CA 94109-3023
Phone
(415) 776-4644
Fax
(415) 922-5729
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A36340 CA Primary

Addresses

Primary practice location

2000 Van Ness Ave
305
San Francisco, CA 94109-3023

Mailing address

2000 Van Ness Ave
305
San Francisco, CA 94109-3023
Phone (415) 776-4644

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000094 CA Practitioner - Physical Medicine and Rehabilitation 9234312869 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Van Ness Ave
Suite 305
San Francisco, CA 94109-3020
Phone (415) 776-4644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A36340CAMDSpecialist

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942391578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE",
            "address_2": "305",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093023",
            "telephone_number": "415-776-4644",
            "fax_number": "415-922-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE",
            "address_2": "305",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093023",
            "telephone_number": "415-776-4644",
            "fax_number": "415-922-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKOWSKY",
        "first_name": "IRENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A36340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.