JEROME R. MINKOFF MD NPI 1801970975

NPI Information

  • NPI: 1801970975
  • Provider Name: JEROME R. MINKOFF, MD
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • Address: 401 BICENTENNIAL WAY
    SANTA ROSA, CA
    ZIP 95403
  • Phone: (707) 571-4000

Map and Directions

Get Directions

NPI Details

Jerome R. Minkoff, MD is an endocrinology and diabetes and metabolism internal medicine in Santa Rosa, CA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Jerome R. Minkoff, MD NPI is 1801970975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 BICENTENNIAL WAY
SANTA ROSA, CA
ZIP 95403-149
Phone: (707) 571-4000

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismG41326CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G413260MEDICARE ID-TYPE UNSPECIFIED
200G413260MEDICAIDCALIFORNIA
3A48532MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.