AMY MEDINA (NPI# 1003453572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003453572 |
| Entity Type | Individual |
| Full Name | AMY MEDINA |
| Practice Address |
20331 Flanagan Rd Trabuco Canyon CA 92679 |
| Mailing Address |
8140 Sunland Blvd Sun Valley CA 91352-3948 |
| Practice Telephone | 8185828832 |
| Mailing Telephone | 8185828832 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013355171 | Amy M Medina | Contractor | 2530 Campbellgate Dr, Waterford, MI 48329-3118 | 2013-06-11 |
| 1326472937 | Amy E Medina | Marriage & Family Therapist | 1950 Alameda De Las Pulgas, San Mateo, CA 94403-1222 | 2013-08-30 |
| 1235295064 | Amy Medina | Speech-Language Pathologist | 1021 W 68th Ter, Kansas City, MO 64113-1922 | 2006-12-28 |
| Street Address |
20331 FLANAGAN RD |
| City | TRABUCO CANYON |
| State | CA |
| Zip Code | 92679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578745881 | Sarah Diane Carmona | Social Worker | 20331 Flanagan Rd, Trabuco Canyon, CA 92679-9267 | 2007-11-28 |
| 1164054128 | Shana Calderon | Technician, Other | 20331 Flanagan Rd, Trabuco Canyon, CA 92679 | 2020-02-07 |
| 1962034926 | Catherine Wilson | Technician, Other | 20331 Flanagan Rd, Trabuco Canyon, CA 92679 | 2020-02-07 |
| 1609407501 | Stephanie Zaugg | Counselor | 20331 Flanagan Rd, Trabuco Canyon, CA 92679 | 2020-01-29 |
| 1053941492 | Ericka Donahoe | Counselor | 20331 Flanagan Rd, Trabuco Canyon, CA 92679 | 2020-01-24 |
| 1366088676 | Annette Cody | Counselor | 20331 Flanagan Rd, Trabuco Canyon, CA 92679 | 2019-11-21 |
| 1346884087 | Angela Marie Fernandez | Technician, Other | 20331 Flanagan Rd, Trabuco Canyon, CA 92679 | 2019-11-06 |
| 1255999876 | Jessyca Hinshaw | Counselor | 20331 Flanagan Rd, Trabuco Canyon, CA 92679 | 2019-05-29 |
| 1740732239 | Boys Town California, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20331 Flanagan Rd, Trabuco Canyon, CA 92679-0975 | 2016-10-31 |
| 1336509645 | Nafiseh Esfahani | Counselor | 20331 Flanagan Rd, Trabuco Canyon, CA 92679-9263 | 2016-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839834 | Natalia Locati | Technician, Other | 20338 Flanagan Rd, Rancho Santa Margarita, CA 92679 | 2019-12-23 |
| 1720620289 | Shaley Gupta | Pharmacist | 21 Centaurus Way, Coto De Caza, CA 92679 | 2019-10-16 |
| 1598135147 | Jenna Lynn Zottarelli | Counselor | 20342 Flanagan Road, Trabuco Canyon, CA 92679 | 2015-09-25 |
| 1033596226 | Kristina Murphy | Counselor | 100 Via Candelaria, Coto De Caza, CALIFORNIA 92679 | 2015-04-27 |
| 1467790576 | Lucito Gamboa Gamboa | Family Medicine | 18 Golfview Drive, Dove Canyon, CA 92679 | 2013-01-24 |
| 1235407131 | Karen Ebersole Rippy | Marriage & Family Therapist | 20331 Flanagan Rd., Trabuco Canyon, CA 92679 | 2011-12-06 |
| 1255655916 | Lyndsay Allison Bulger | Registered Nurse | 15 Glen Echo, Dove Canyon, CA 92679 | 2010-03-23 |
| 1235393133 | Kalapp Chiropractic | Chiropractor | 20061 Trabuco Oaks, Trabuco Canyon, CA 92679 | 2008-07-10 |
| 1760650071 | Reha C Shrikhande | Physical Therapist | 8 Yellowpine Lane, Trabuco Cyn, CA 92679 | 2008-02-20 |
| 1013012343 | Robert J Foster | Physical Therapist | 28351 Quiet Hill Lane, Trabuco Canyon, CA 92679 | 2006-09-13 |
| Find all providers in zip 92679 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054128 | Shana Calderon | Technician, Other | 20331 Flanagan Rd, Trabuco Canyon, CA 92679 | 2020-02-07 |
| 1962034926 | Catherine Wilson | Technician, Other | 20331 Flanagan Rd, Trabuco Canyon, CA 92679 | 2020-02-07 |
| 1346884087 | Angela Marie Fernandez | Technician, Other | 20331 Flanagan Rd, Trabuco Canyon, CA 92679 | 2019-11-06 |
| 1124675475 | Alysia Israel | Technician, Other | 20331 Flanagan Road, Trabuco Canyon, CA 92679 | 2019-08-21 |
| 1356813224 | Jessica Hilliard | Technician, Other | 20331 Flanagan Rd., Trabuco Canyon, CA 92679 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265912 | Jenny Alicia Jimenez | Technician, Other | 20353 Guffy Ln, Wildomar, CA 92595-8797 | 2020-11-03 |
| 1093313579 | Victoria Espinoza | Technician, Other | 1111 Morrissey Blvd, Santa Cruz, CA 95065-1406 | 2020-10-15 |
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1285241778 | Lice Clinics of America- Pleasanton | Technician, Other | 818 Main St Ste H, Pleasanton, CA 94566-6648 | 2020-09-28 |
| 1063028348 | Kendall Marie Avila | Technician, Other | 28 Pueblo Vista Rd, Santa Barbara, CA 93103-2159 | 2020-09-22 |
| 1215542808 | Kelsie Arballo | Technician, Other | 10440 Maya Linda Rd Apt E307, San Diego, CA 92126-5262 | 2020-09-10 |
| 1104439199 | Zahraa Al Karkhi | Technician, Other | 10884 Calle Verde Apt 102, La Mesa, CA 91941-8502 | 2020-08-28 |
| 1841803269 | Mayra A Valdivia | Technician, Other | 26701 Quail Crk Apt 280, Laguna Hills, CA 92656-3062 | 2020-08-25 |
| 1669082434 | Jerome Prudencio Jr. | Technician, Other | 8816 La Riviera Dr Unit D, Sacramento, CA 95826-2075 | 2020-08-05 |
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | TRABUCO CANYON |
| Zip Code | 92679 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.