JONATHAN LEE MINOR (NPI# 1609195452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609195452 |
| Entity Type | Individual |
| Full Name | JONATHAN LEE MINOR |
| Credential | M.D. |
| Practice Address |
1310 W Stewart Dr Suite 508 Orange CA 92868-3854 |
| Practice Telephone | 7146332111 |
| Practice Fax Number | 7146335615 |
| Mailing Telephone | 7146332111 |
| Mailing Fax Number | 7146335615 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2015-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
A137057 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CB238713 | 01 |
| Street Address |
1310 W STEWART DR SUITE 508 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362723 | Thuy Dich Pham | Internal Medicine | 1310 W Stewart Dr, Ste 410, Orange, CA 92868-3854 | 2005-08-09 |
| 1144776683 | Shawn Beck, M.d., Inc | Urology | 1310 W Stewart Dr, Suite 402, Orange, CA 92868-3854 | 2016-08-25 |
| 1619366929 | Jamie Mccoy | Physician Assistant | 1310 W Stewart Dr, Ste 503, Orange, CA 92868-3854 | 2015-01-10 |
| 1316365752 | Elizabeth Keramati | Nurse Practitioner | 1310 W Stewart Dr, Suite 506, Orange, CA 92868-3854 | 2014-04-02 |
| 1225467038 | Southern California Eye Consultants Inc. | Clinic/Center | 1310 W Stewart Dr, Suite 311, Orange, CA 92868-3854 | 2013-11-03 |
| 1346582053 | Aaron B Fowler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 W Stewart Dr, Ste 503, Orange, CA 92868-3856 | 2013-03-20 |
| 1518203678 | Angel Gomez-garcia Medical Center, Inc. | Clinic/Center | 1310 W Stewart Dr, 309, Orange, CA 92868-3854 | 2012-12-18 |
| 1336404235 | Lars Anker M.d. A Medical Corporation | Neurological Surgery | 1310 W Stewart Dr, Suite 410, Orange, CA 92868-3854 | 2012-07-07 |
| 1447522974 | Ivan M Turpin, M.d., Inc. | Surgery | 1310 W Stewart Dr, Suite 610, Orange, CA 92868-3854 | 2012-01-30 |
| 1598040339 | Divya Chode | Internal Medicine | 1310 W Stewart Dr, Ste 410, Orange, CA 92868-3854 | 2011-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861848947 | Michael Joseph Nieto | Pediatrics | 280 S Main St Ste 200, Orange, CA 92868-3852 | 2016-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228462 | Gameday Sports Medicine Academy | Pediatrics | 3101 Gilmore Ave Ste 100, Bakersfield, CA 93308-6342 | 2019-07-30 |
| 1356683247 | Alana Wright | Pediatrics | 2300 Camino Ramon, San Ramon, CA 94583-1354 | 2013-03-19 |
| 1790929396 | Mark Warshaw | Pediatrics | 8 Mclea Ct, San Francisco, CA 94103-4451 | 2009-04-27 |
| 1730336397 | Stephen S. Chen | Pediatrics | 1777 Botelho Dr Ste 110, Walnut Creek, CA 94596-5083 | 2008-08-25 |
| 1801008917 | Christine Boyd | Pediatrics | 1119 E Stanley Blvd, Livermore, CA 94550-4115 | 2007-05-03 |
| 1891875522 | Rebecca A. Demorest | Pediatrics | 4000 Dublin Blvd Ste 100, Dublin, CA 94568-3122 | 2006-10-17 |
| 1427057132 | Eric J Jenkinson | Pediatrics | 1255 Liberty St, Redding, CA 96001-0814 | 2005-07-15 |
| 1912419276 | Alix Mackenzie Wilson | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2017-10-26 |
| 1326581208 | Jessica Mofidi | Pediatrics | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2016-11-28 |
| 1477705028 | Bianca R. Edison | Pediatrics | 4650 Sunset Blvd, Mailstop 69, Children's Orthopaedic Center, Chla, Los Angeles, CA 90027 | 2008-10-15 |
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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.