Active NPI
Maureen D Miner, M.D.
- Rehabilitation Practitioner
- Gilroy, CA
National Provider Identifier
1992746960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- G73411
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G73411 | CA | MD | Rehabilitation Practitioner |
Interoperability endpoints
- southcountypainandrehab.maureendminer@112649.advancedmd-direct.com
- 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.
-
- Rehabilitation Practitioner
- Gilroy, CA
- NPI 1811934607
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.