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DR. MICHAEL KENNETH MINDORO M.D.
NPI 1801974845
Family Medicine in Banning, CA

Active since November 01, 2006
11555 1/2 POTRERO RD, BANNING, CA 92220(951) 849-4761 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Kenneth Mindoro M.d. NPPES

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

DR. MICHAEL KENNETH MINDORO M.D. (NPI 1801974845) is an individual family medicine provider in Banning, California, licensed in California (A92023) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1801974845
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL KENNETH MINDOROCredential: M.D.
Location Address11555 1/2 POTRERO RDBanning, CA 92220-6946
Mailing Address10741 Coloma StLoma Linda, CA 92354-2301
Phone(951) 849-4761
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801974845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A92023
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11555 1/2 POTRERO RD, Banning, CA 92220
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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.

HEATHER MERCER PSYD, DRPH
Psychologist (Health Service)
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
DR. MANUEL I SALMERON MD
Family Medicine
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (800) 732-8805
ELENA VIRGINIA WEAVER
Driver
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
CHAD E STOCKERT O.D.
Optometrist
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (909) 849-4761
JULIE ANN ANDREWS LCSW
Social Worker (Clinical)
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
MS. SANDRA H CONLEY R.N.
Registered Nurse
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
DR. KAREN J DAVIS MD
Family Medicine
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761

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 Michael Kenneth Mindoro's NPI number?

The NPI number for Michael Kenneth Mindoro is 1801974845. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Michael Kenneth Mindoro located?

Michael Kenneth Mindoro practices at 11555 1/2 Potrero Rd, Banning, CA 92220. The listed phone number is (951) 849-4761.

What is Michael Kenneth Mindoro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Michael Kenneth Mindoro was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.