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DR. MINA MAXIMOUS DO
NPI 1609335512
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
9961 SIERRA AVE, FONTANA, CA 92335(909) 427-5000 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2021, Mar 19, 2019 (2 updates tracked since 2019).

About Dr. Mina Maximous Do NPPES

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

DR. MINA MAXIMOUS DO (NPI 1609335512) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609335512
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MINA MAXIMOUSCredential: DO
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address9961 Sierra AveFontana, CA 92335-6720
Phone(909) 427-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
✔ NPI 1609335512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9961 SIERRA AVE, Fontana, CA 92335
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mina Maximous Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890187033
PECOS Enrollment IDI20250331000351
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.

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.

MR. TERRY RICHARD SKOK RNP
Nurse Practitioner (Acute Care)
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3395
TIMOTHY MCCARTER MD
Internal Medicine (Gastroenterology)
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-7830
DR. GABRIEL FELICIANO ALVAREZ PHARM.D.
Pharmacist
9961 SIERRA AVE, DEPT OF INPATIENT PHARMACY
FONTANA, CA 92335
San Bernardino County (909) 427-5335
DR. JENNIFER M LEE PHARM.D.
Pharmacist
9961 SIERRA AVE, INPATIENT PHARMACY
FONTANA, CA 92335
San Bernardino County (909) 427-5874
SANI HANH PHAM PHARM, D.
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5335
THERESE M. HERSHEY PHARM.D.
Pharmacist
9961 SIERRA AVE, INPATIENT PHARMACY
FONTANA, CA 92335
San Bernardino County (909) 427-5026
FRANCIS Y CHAN PHARM.D.
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-7559
DR. ANDREW SIMENTAL JR. PHARM.D.
Pharmacist
9961 SIERRA AVE, KAISER HOSPITAL BLDG 3, BSMT INPT PHARMACY
FONTANA, CA 92335
San Bernardino County (909) 427-5026

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 Mina Maximous's NPI number?

The NPI number for Mina Maximous is 1609335512. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Mina Maximous located?

Mina Maximous practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-5000.

What is Mina Maximous's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mina Maximous enrolled in Medicare?

Yes. Mina Maximous is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mina Maximous was last updated on December 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.