DR. MARK S MINKES (NPI# 1629027289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629027289 |
| Entity Type | Individual |
| Full Name | DR. MARK S MINKES |
| Credential | M.D. |
| Practice Address |
11480 Brookshire Ave Suite 111 Downey CA 90241-5010 |
| Practice Telephone | 5629041651 |
| Practice Fax Number | 5629041656 |
| Mailing Telephone | 5629041651 |
| Mailing Fax Number | 5629041656 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G38259 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0080690 | 05 | |
| CA | PALMETTO RAILROAD MEDICARE | 990004307 | 01 |
| CA | MEDI-CAL | GR0080690 | 01 |
| CA | AETNA | 0004024011 | 01 |
| CA | BLUE SHIELD | ZZZ54573Z | 01 |
| Street Address |
11480 BROOKSHIRE AVE SUITE 111 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683944 | David Berger | Internal Medicine | 11480 Brookshire Ave, #110, Downey, CA 90241-5010 | 2005-10-20 |
| 1992172696 | Thuy Thi Ngoc Dang | Physician Assistant | 11480 Brookshire Ave, 309, Downey, CA 90241-5018 | 2015-08-28 |
| 1528481421 | Eriko Nakajima | Physician Assistant | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5018 | 2014-01-28 |
| 1912241019 | David Berger Md Inc. | Internal Medicine | 11480 Brookshire Ave, Suite 110, Downey, CA 90241-5018 | 2012-11-15 |
| 1215281787 | Neil E Klein Md A Medical Corporation | Surgery | 11480 Brookshire Ave, Suite 306, Downey, CA 90241-5024 | 2012-11-05 |
| 1790044691 | Ran Zhu | Pediatrics | 11480 Brookshire Ave, Downey, CA 90241-5018 | 2012-05-11 |
| 1811261084 | Anais Danielle Lane | Nurse Practitioner | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 | 2012-03-05 |
| 1174802698 | Lauren Rae Gillan | Physician Assistant | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5018 | 2011-08-15 |
| 1750689378 | Hooman Parsi | Internal Medicine | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5025 | 2011-03-06 |
| 1134421480 | The Oncology Institute of Hope and Innovation | Internal Medicine | 11480 Brookshire Ave, Suite 309, Downey, CA 90241-5018 | 2010-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033348578 | Marilee Carballo | Surgery | 8504 Firestone Blvd # 242, Downey, CA 90241-4926 | 2009-07-06 |
| 1952539249 | Fredrick M Che | Surgery | 9449 Imperial Hwy, Downey, CA 90242-2814 | 2009-06-25 |
| 1659312411 | Minkes & Deere, M.d.'s | Surgery | 11480 Brookshire Ave, Suite 111, Downey, CA 90241-5010 | 2006-06-10 |
| 1649221060 | Robert C Deere | Surgery | 11480 Brookshire Ave, Suite 111, Downey, CA 90241-5010 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344321 | Sadeghi Medical Corporation | Surgery | 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 | 2020-10-21 |
| 1295332823 | Vneo Medical Clinic Inc | Surgery | 6817 1/2 Kester Ave, Van Nuys, CA 91405-3716 | 2020-10-06 |
| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
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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.