DR. MARY LORENE MINAR D.O.
NPI 1972653814
Family Medicine in Huntington Beach, CA

Active since January 11, 2007PECOS Enrolled
17762 BEACH BLVD STE 220, HUNTINGTON BEACH, CA 92647(714) 848-0080(714) 665-4679 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mary Lorene Minar D.o. NPPES

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

DR. MARY LORENE MINAR D.O. (NPI 1972653814) is an individual family medicine provider in Huntington Beach, California, licensed in California (20A5782) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972653814
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARY LORENE MINARCredential: D.O.
Location Address17762 BEACH BLVD STE 220Huntington Beach, CA 92647-6860
Mailing Address17762 Beach Blvd Ste 220Huntington Beach, CA 92647-6860 · (714) 848-0080 · Fax (714) 665-4679
Fax(714) 665-4679
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateNovember 4, 2019
✔ NPI 1972653814 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 · 20A5782
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.
17762 BEACH BLVD STE 220, Huntington Beach, CA 92647

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Lorene Minar D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mary Minar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group

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 92647 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 7

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

Family Medicine (Sports Medicine)
17762 BEACH BLVD STE 220
HUNTINGTON BEACH, CA 92647
Nurse Practitioner (Family)
17762 BEACH BLVD STE 220
HUNTINGTON BEACH, CA 92647
Family Medicine
17762 BEACH BLVD STE 220
HUNTINGTON BEACH, CA 92647
Pediatrics
17762 BEACH BLVD STE 220
HUNTINGTON BEACH, CA 92647
Physician Assistant
17762 BEACH BLVD STE 220
HUNTINGTON BEACH, CA 92647
Family Medicine
17762 BEACH BLVD STE 220
HUNTINGTON BEACH, CA 92647
Family Medicine
17762 BEACH BLVD STE 220
HUNTINGTON BEACH, CA 92647

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 Mary Minar's NPI number?

The NPI number for Mary Minar is 1972653814. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Mary Minar located?

Mary Minar practices at 17762 Beach Blvd Ste 220, Huntington Beach, CA 92647. The listed phone number is (714) 848-0080.

What is Mary Minar's specialty?

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

Is Mary Minar enrolled in Medicare?

Yes. Mary Minar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Minar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Minar reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Minar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Minar was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.