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DR. DONALD MINOR M.D.
NPI 1467416743
Specialist in Penngrove, CA

Active since April 13, 2006
4960 REBECCA DR, PENNGROVE, CA 94951(707) 762-3507(707) 795-8352 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Donald Minor M.d. NPPES

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

DR. DONALD MINOR M.D. (NPI 1467416743) is an individual specialist in Penngrove, California, licensed in California (G28979) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1467416743
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DONALD MINORCredential: M.D.
Location Address4960 REBECCA DRPenngrove, CA 94951-9519
Mailing AddressPo Box 750607Petaluma, CA 94975-0607 · (707) 762-3507 · Fax (707) 795-8352
Phone(707) 762-3507
Fax(707) 795-8352
Sole ProprietorYes
Enumeration DateApril 13, 2006
Last NPPES UpdateNovember 12, 2008
✔ NPI 1467416743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G28979
Definition
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.
4960 REBECCA DR, Penngrove, CA 94951
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Other Identifiers 3

Medicare PIN00G289790CA
Medicare UPINA43926
MedicaidG00028979CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Minor's NPI number?

The NPI number for Donald Minor is 1467416743. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Donald Minor located?

Donald Minor practices at 4960 Rebecca Dr, Penngrove, CA 94951. The listed phone number is (707) 762-3507.

What is Donald Minor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Donald Minor was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.