MICHAEL MIN
NPI 1205462108
Pediatrics in Loma Linda, CA

Q: What is Michael Min's NPI number?

The NPI number for Michael Min is 1205462108. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Michael Min's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Min was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2020PECOS Enrolled

25845 BARTON RD, LOMA LINDA, CA 92354(909) 558-2828 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2023, Mar 23, 2020 (2 updates tracked since 2020).

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About Michael Min NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL MIN (NPI 1205462108) is an individual pediatrics provider in Loma Linda, California, licensed in California (A178872) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Loma Linda, and is a graduate of Loma Linda University School Of Medicine (2020).

NPPES Registry Identity

NPI1205462108

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMICHAEL MIN

Location Address25845 BARTON RDLoma Linda, CA 92354-3899

Mailing Address11175 Campus St Rm A1111Loma Linda, CA 92350-1700 · (909) 558-8142

Phone(909) 558-2828

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2020

Enumeration DateMarch 23, 2020

Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration

NPPES CertifiedJuly 17, 2023

✔ NPI 1205462108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A178872

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

25845 BARTON RD, Loma Linda, CA 92354

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Secondary Practice Location 1

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 558-4174

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Min is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729445556

PECOS Enrollment IDI20251226002310

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Michael Min reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm

Same address

Pediatrics

25845 BARTON ROAD, STE. F
Loma Linda, CA 92354

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1275583007 (909) 558-2828

Multicare Health System

939 mi

Internal Medicine

400 E 5TH AVE
Spokane, WA 99202

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1730687161 (509) 838-2531

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEE CHAN PARK M.D.

Pediatrics