Minoo Dargah

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSB94023198 Issued in CA

Practice address

13731 Olive Street
Westminster, CA 92683

Phone

(949) 610-6263

NPI assigned

Mar 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Blue Psychological ServicesGroup PAC ID 3678908357, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pacific Blue Psychological Services

  • Psychologist
  • Sherman Oaks, CA
  • NPI 1124678719
  Medicare reassignment Care Compare group NPD
• Minoo Dargah Psy D Psychology Inc

  • Community/Behavioral Health Agency
  • Irvine, CA
  • NPI 1548949977
  Medicare reassignment Authorized official
• Joy of Conscious Living

  • Clinical Psychologist
  • Westminster, CA
  • NPI 1013607985
  NPD Authorized official

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1962960864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 CAMPUS DR # 231",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122621",
            "telephone_number": "949-610-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 OLIVE STREET",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "949-610-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARGAH",
        "first_name": "MINOO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-09",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94023198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Nguyen, DDS, Inc
• Anh Trung Dao, PHARMD
• Bup Thi Dao, M.D.
• Connie Dao, PHARMD
• Trung Duy Dao, M.D.
• Ronald Paulino Daria, RN-PHN
• Darryl C Chong DDS Dental Corp
• Dat Duong, M.D., Inc.
• Dat Manh Nguyen M D a Professional Corporation
• Eike Alice Daube, ACSW

• Clinical Psychologist in Westminster, CA
• Providers in Westminster, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.