MEDICARE: DR. DONALD MINOR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G28979	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467416743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD MINOR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 750607
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94975-0607
Country	:	US
Telephone Number	:	707-762-3507
Fax Number	:	707-795-8352

Provider Business Practice Location Address
First Line	:	4960 REBECCA DR
Second Line	:
City	:	PENNGROVE
State	:	CA
Zip	:	94951-9519
Country	:	US
Telephone Number	:	707-762-3507
Fax Number	:	707-795-8352

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	11/12/2008

Similar Medicare Providers

1053382911 — ROBERT ROWEN HERZOG PT
Practice Location Address:

8690 PETALUMA HILL RD
PENNGROVE, CA
94951-8734

Practice Phone: 707-779-9162
Practice Fax:

1356458541 — MRS. ALEXANDRA ADVOCATE MFT
Practice Location Address:

10864 MINNESOTA AVE
PENNGROVE, CA
94951-9617

Practice Phone: 707-795-2456
Practice Fax: 707-795-2456

1780979161 — MS. CAITLIN L CONKLIN BCBA
Practice Location Address:

4444 ACACIA WAY
PENNGROVE, CA
94951-9731

Practice Phone: 707-776-7747
Practice Fax: 888-330-9483

1689080194 — EDWARD ROSEN PT
Practice Location Address:

6575 EAGLE RIDGE RD
PENNGROVE, CA
94951-9575

Practice Phone: 707-795-0210
Practice Fax:

1043628829 — STEPHEN SMITH
Practice Location Address:

520 ORCHARD LN
PENNGROVE, CA
94951-9659

Practice Phone: 707-792-1834
Practice Fax:

1740673748 — MR. ALEXANDER EDWARD PERROTTI MFTI
Practice Location Address:

3450 LICHAU RD
PENNGROVE, CA
94951-8720

Practice Phone: 510-717-1299
Practice Fax:

Directions to “ DR. DONALD MINOR M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.