DR. DONALD MINOR (NPI# 1467416743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467416743 |
| Entity Type | Individual |
| Full Name | DR. DONALD MINOR |
| Credential | M.D. |
| Practice Address |
4960 Rebecca Dr Penngrove CA 94951-9519 |
| Mailing Address |
Po Box 750607 Petaluma CA 94975-0607 |
| Practice Telephone | 7077623507 |
| Practice Fax Number | 7077958352 |
| Mailing Telephone | 7077623507 |
| Mailing Fax Number | 7077958352 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G28979 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G00028979 | 05 |
| Street Address |
4960 REBECCA DR |
| City | PENNGROVE |
| State | CA |
| Zip Code | 94951-9519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783848 | Christina N Wallace | Massage Therapist | 308 Oak Street, Penngrove, CA 94951 | 2020-09-04 |
| 1922126689 | Regina Ann Wilson-seppa | Specialist | 730 Goodwin Ave, Penngrove, CA 94951-8623 | 2007-03-27 |
| 1578912481 | Jennifer Lisa Madrid | Licensed Psychiatric Technician | 574 Formschlag Ln, Penngrove, CA 94951-8715 | 2016-06-10 |
| 1740673748 | Alexander Edward Perrotti | Marriage & Family Therapist | 3450 Lichau Rd, Penngrove, CA 94951-8720 | 2015-03-15 |
| 1053382911 | Robert Rowen Herzog | Physical Therapist | 8690 Petaluma Hill Rd, Penngrove, CA 94951-8734 | 2006-01-30 |
| 1689080194 | Edward Rosen | Physical Therapist | 6575 Eagle Ridge Rd, Penngrove, CA 94951-9575 | 2014-07-03 |
| 1083112221 | Kimberly Ann Brasil | Dental Hygienist | 9663 Old Redwood Hwy, Penngrove, CA 94951-9610 | 2018-01-23 |
| 1356458541 | Alexandra Advocate | Marriage & Family Therapist | 10864 Minnesota Ave, Penngrove, CA 94951-9617 | 2006-08-24 |
| 1043628829 | Stephen Smith | Counselor | 520 Orchard Ln, Penngrove, CA 94951-9659 | 2014-07-24 |
| 1144857475 | Natalie Diane Hole | Speech-Language Pathologist | 1379 Dutch Ln, Penngrove, CA 94951-9718 | 2020-03-25 |
| Find all providers in zip 94951 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922126689 | Regina Ann Wilson-seppa | Specialist | 730 Goodwin Ave, Penngrove, CA 94951-8623 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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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.