MONICA MINGUILLON


Address: 401 Bicentennial Way, Santa Rosa, CA 95403-2149
Phone: 7075714000

MONICA MINGUILLON (NPI# 1912081902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912081902
Entity Type Individual
Full Name MONICA MINGUILLON
Credential MD
Practice Address 401 Bicentennial Way
Santa Rosa
CA 95403-2149
Mailing Address 1800 Harrison St Fl 7
Oakland
CA 94612-3429
Practice Telephone 7075714000
Mailing Telephone 5106256262
Enumeration Date 2006-10-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
G55382 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G553820 05

Office Location

Street Address 401 BICENTENNIAL WAY
City SANTA ROSA
State CA
Zip Code 95403-2149

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649276940 Virginia E Hofmann Psychiatry & Neurology 401 Bicentennial Way, Department of Psychiatry, Santa Rosa, CA 95403-2149 2005-06-22
1376142646 Denny Jeb Piolo Sta Ana Respiratory Therapist, Registered 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-10-19
1417564915 Nancy Patricia Prussiamerritt Respiratory Therapist, Registered 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-09-28
1629682042 Mio John Villagomez Respiratory Therapist, Registered 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-09-02
1679181861 Miriam Stone Respiratory Therapist, Registered 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-07-14
1902414196 Brenda L Yates Respiratory Therapist, Registered 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-07-14
1215550801 John Callander Student in an Organized Health Care Education/Training Program 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-05-18
1124649074 Gustavo Gabriel Romero Student in an Organized Health Care Education/Training Program 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-05-01
1184244147 Kimberly Hower Student in an Organized Health Care Education/Training Program 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-04-20
1316574452 Constantine Kulkoff Student in an Organized Health Care Education/Training Program 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912549841 Abundance Acupuncture Healing Clinic Acupuncturist 3410 Mendocino Avenue, Santa Rosa, CA 95403 2019-10-11
1982161337 Crystal J Ward Registered Nurse 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 2019-02-21
1033674379 George Edward Griese Respiratory Therapist, Registered 501 Bicentennial Way, Santa Rosa, CA 95403 2019-01-31
1508320672 East-west Natural Medicine Inc. Acupuncturist 2200 Range Ave #207, Santa Rosa, CA 95403 2019-01-23
1316410640 Lionel C Cooper Counselor 315 Mark West Springs Road, Santa Rosa, CA 95403 2019-01-09
1326519182 Jkb Solutions Inc. In Home Supportive Care 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 2018-12-05
1487121265 Catholic Charities of The Diocese of Santa Rosa Clinic/Center 987 Airway Ct, Santa Rosa, CA 95403 2018-10-30
1447746524 Lisa Jean Quang Optometrist 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 2018-07-02
1598253353 Jennifer Renee Lummus Community Health Worker 3614 Condo Court, Santa Rosa, CA 95403 2018-04-27
1871042366 Sadie Thuet Marriage & Family Therapist 3434 A Mendocino Ave, Santa Rosa, CA 95403 2016-09-26
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891896163 Kenneth Cecil Lamb Internal Medicine 122 Calistoga Rd # 399, Santa Rosa, CA 95409-3702 2006-09-26
1548298060 James Marco Steele Internal Medicine 3867 Montgomery Dr, Santa Rosa, CA 95405-5244 2006-06-30
1588690051 Daniel I Loube Internal Medicine 3622 Orbetello Ct., Santa Rosa, CA 95404 2006-06-24
1528021490 Vu Anh Tran Internal Medicine 4710 Hoen Ave # B, Santa Rosa, CA 95405-7887 2006-04-10
1427052851 Vadim Leyenson Internal Medicine 95 Montgomery Dr Ste 104, Santa Rosa, CA 95404-6617 2005-06-13
1952603177 Northern California Medical Assoc Inc Internal Medicine 3867 Montgomery Dr, Santa Rosa, CA 95405-5244 2010-11-19
1316917883 Hyun Kang Internal Medicine 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 2006-01-25

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1295332633 Compassionate Critical Care Group, Inc. Internal Medicine 22543 Ventura Blvd Ste 220, Woodland Hills, CA 91364-1403 2020-10-08
1972149748 Bay Area Neurointensivists Inc Internal Medicine 3066 Deer Meadow Dr, Danville, CA 94506-2135 2019-11-26
1356903298 Benjamin R Deaton Md Inc. Internal Medicine 7468 Muirwood Ct, Pleasanton, CA 94588-4232 2019-07-01
1851950232 Riverside Medical Clinic Inc Internal Medicine 4100 Central Ave Ste 201, Riverside, CA 92506-2930 2019-06-10
1407414329 Riverside Medical Clinic Inc Internal Medicine 2079 Compton Ave Ste A101, Corona, CA 92881-7284 2019-06-05
1144718875 Jeffrey Tobias Internal Medicine 10 Lavender Ter, Petaluma, CA 94952-4938 2018-04-27
1780187229 Jesse Robles Internal Medicine 651 Sunnyside Ave, San Diego, CA 92114-4945 2018-03-12
1710403183 Excelcare Internal Medicine 2400 Chester Ave, Bakersfield, CA 93301-4020 2017-08-17
1255865549 Liou Medical Inc Internal Medicine 17310 Evening Star Ave, Cerritos, CA 90703-8318 2017-04-13
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Competitor

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City SANTA ROSA
Zip Code 95403

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Dataset Information

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.

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