DR. ROXANA P MINKUS (NPI# 1184669871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184669871 |
| Entity Type | Individual |
| Full Name | DR. ROXANA P MINKUS |
| Credential | D.O |
| Practice Address |
2650 S Bristol St Suite 105 Santa Ana CA 92704 |
| Mailing Address |
2650 S Bristol St Ste 105 Santa Ana CA 92704-5751 |
| Practice Telephone | 7148001919 |
| Practice Fax Number | 7148001924 |
| Mailing Telephone | 7148001919 |
| Mailing Fax Number | 7148001924 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 20A6672 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 20A6672 | CA | Allopathic & Osteopathic Physicians |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
20A6672 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OOAX66720 | 05 | |
| CA | OOAX6672ON61 | 05 |
| Street Address |
2650 S BRISTOL ST SUITE 105 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184089922 | Ashley Zaw | Nurse Practitioner | 2650 S Bristol St, Suites 101-103, Santa Ana, CA 92704-5751 | 2015-12-21 |
| 1114310372 | Michelle Thusinh Tran | Nurse Practitioner | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2015-03-12 |
| 1811317001 | Maydole Lopez Aldalur | Nurse Practitioner | 2650 S Bristol St, Ste 101, Santa Ana, CA 92704-5751 | 2014-04-26 |
| 1174945794 | Byong Hwi Lee, D.d.s, Inc | Dentist | 2650 S Bristol St, Suite 107, Santa Ana, CA 92704-5751 | 2014-01-16 |
| 1497991483 | Byong-hwi Lee | Dentist | 2650 S Bristol St, Suite107, Santa Ana, CA 92704-5751 | 2008-12-23 |
| 1528222767 | Ahmed Khosrowshahi | Pediatrics | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2008-07-16 |
| 1093991002 | Haideh Mobarak | Specialist | 2650 S Bristol St, 101&103, Santa Ana, CA 92704-5751 | 2008-01-21 |
| 1760661516 | Lubna Ajmal | Specialist | 2650 S Bristol St, 101- 103, Santa Ana, CA 92704-5751 | 2007-10-29 |
| 1962615369 | Jaime Raul Luna | Physician Assistant | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2007-05-08 |
| 1821115817 | South Coast Family Medicine, Inc | Clinic/Center | 2650 S Bristol St, 105, Santa Ana, CA 92704-5751 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871083188 | Alliance of Latino Health Services Medical Group Inc | General Practice | 517 N Main St Ste 220, Santa Ana, CA 92701-6703 | 2018-05-11 |
| 1497294243 | Integrative Wellness Medical Group, Inc | General Practice | 1800 N Bush St Ste 102, Santa Ana, CA 92706-4110 | 2017-02-13 |
| 1013454495 | Marco M Zahedi M D A Medical Corporation | General Practice | 1200 N Tustin Ave Ste 120, Santa Ana, CA 92705-6502 | 2017-01-24 |
| 1861849267 | Medical Clinic Management | General Practice | 1125 E 17th St Ste W237, Santa Ana, CA 92701-2205 | 2016-05-16 |
| 1477988004 | Tuan Anh Phan | General Practice | 1405 N Bristol St, Santa Ana, CA 92706-3303 | 2013-09-13 |
| 1972825305 | San Antonio Medical Center Inc. | General Practice | 610 W. 17th Street, Santa Ana, CA 92706 | 2010-02-26 |
| 1316194418 | David Paul Quintero | General Practice | 1710 E 17th St Ste B, Santa Ana, CA 92705-8622 | 2008-08-20 |
| 1710146295 | Sunita Lohiya | General Practice | 1120 W Warner, #a, Santa Ana, CA 92799-6098 | 2008-06-09 |
| 1356427595 | Geoffrey David Furman | General Practice | 801 N Tustin Ave Ste 602, Santa Ana, CA 92705-3610 | 2006-10-31 |
| 1174612279 | Joseph Anthony Serna | General Practice | 2620 S Bristol St Ste B, Santa Ana, CA 92704-5727 | 2006-10-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.