Individual provider Active NPI

Maureen D Miner, M.D.

  • Rehabilitation Practitioner
  • Gilroy, CA
National Provider Identifier
1992746960
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
G73411 Issued in CA
Practice address
7888 Wren Ave Ste D143
Gilroy, CA 95020-4966
Phone
(408) 842-9296
Fax
(408) 842-6878
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X G73411 CA Primary

Addresses

Primary practice location

7888 Wren Ave Ste D143
Gilroy, CA 95020-4966

Mailing address

PO Box 1812
Morgan Hill, CA 95038-1812
Phone (408) 842-9296

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
I20060412000506 CA Practitioner - Physical Medicine and Rehabilitation 2466461959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Eastern Virginia Medical School, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7888 Wren Ave
Suite D143
Gilroy, CA 95020-4966
Phone (408) 842-9296

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G73411CAMDRehabilitation Practitioner

Interoperability endpoints

  • Direct secure messaging: southcountypainandrehab.maureendminer@112649.advancedmd-direct.com
  • Direct secure messaging: mminer11136@santaclaravalley.direct-ci.net

Organizations & group practices 1

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.

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1992746960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1812",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950381812",
            "telephone_number": "408-842-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7888 WREN AVE STE D143",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204966",
            "telephone_number": "408-842-9296",
            "fax_number": "408-842-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "MAUREEN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "G73411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.