JONATHAN JAY MEDINA


Address: 11080 W Olympic Blvd, Los Angeles, CA 90064-1937
Phone: 3109666508

JONATHAN JAY MEDINA (NPI# 1285198788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285198788
Entity Type Individual
Full Name JONATHAN JAY MEDINA
Practice Address 11080 W Olympic Blvd
Los Angeles
CA 90064-1937
Mailing Address 9308 Charlesworth Rd
Pico Rivera
CA 90660-5212
Practice Telephone 3109666508
Mailing Telephone 5625763739
Enumeration Date 2019-01-29
Last Update Date 2019-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker CA Other Service Providers

Office Location

Street Address 11080 W OLYMPIC BLVD
City LOS ANGELES
State CA
Zip Code 90064-1937

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134158827 Reeba Daine Ruvelson Counselor 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 2006-07-03
1467065995 Arthur L Sun Student in an Organized Health Care Education/Training Program 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 2020-08-25
1689286064 Leslie Rose Student in an Organized Health Care Education/Training Program 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 2020-08-18
1760093942 Michael Thomas Sheley Student in an Organized Health Care Education/Training Program 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 2020-08-12
1598376642 Madison Lee Murphy-sinclair Student in an Organized Health Care Education/Training Program 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 2020-08-12
1821613035 Jose Luis Navarro Rehabilitation Practitioner 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 2020-06-12
1801420682 Desiree Celina Triay Registered Nurse 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 2020-03-02
1922564905 Chinwe Margaret Chukwudebelu Registered Nurse 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 2019-02-14
1649741208 Lydia Antonieta Boyce Community Health Worker 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 2018-12-07
1083191563 Cherryl Lavonne Davis-watson Community Health Worker 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 2018-07-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134727597 Barbara K. Polland Marriage & Family Therapist 10533 Rountree Rd., Los Angeles, CA 90064 2020-10-16
1912542994 Reproductive Medicine Associates of Socal Ambulatory Surgery Center Clinic/Center 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 2019-11-13
1376022012 Payersdirect, Inc. Radiology 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 2018-08-13
1013404136 Jeannie Wakamatsu Dietitian, Registered 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 2018-04-13
1487153474 Victor Louie Behavior Technician 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 2018-02-06
1538683842 Ana Grinfeld Behavioral Analyst 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 2017-07-28
1407386089 Ovsanna Stepanyan Rehabilitation Practitioner 11080 W Olimpic Blvd, La, CA 90064 2017-06-15
1952768012 Grace Gayles Behavioral Analyst 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 2016-01-20
1669841003 Jessica Hildebrandt Occupational Therapy Assistant 2446 S Westgate Ave, Los Angeles, CA 90064 2015-09-16
1033592571 Joshua Busse Family Medicine 11845 Olympic Boulevard, Los Angeles, CA 90064 2015-07-01
Find all providers in zip 90064

Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659903730 Sharon Mckay Community Health Worker 3303 W Vernon Ave, Los Angeles, CA 90008-5229 2020-02-06
1497308738 Joanne Westpoint Community Health Worker 695 S Vermont Ave Ste 910, Los Angeles, CA 90005-1349 2019-07-16
1619532017 Diana Elizabeth Leon Saucedo Community Health Worker 4225 S Central Ave, Los Angeles, CA 90011-3000 2019-05-01
1972069474 Rosemary Guadalupe Gonzalez Community Health Worker 133 N Sunol Dr # 159, Los Angeles, CA 90063-1429 2019-02-20
1750852471 Carlos Tovar Sr. Community Health Worker 1720 E 120st, Los Angeles, CA 90059 2018-12-06
1538641212 Brenda Bahena Community Health Worker South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 2018-08-30
1760974158 Edna Marisol Martinez Community Health Worker 9900 S Vermont Ave, Los Angeles, CA 90044-3110 2018-06-01
1134611627 Nuttapong Kittikasamsawat Community Health Worker 6376 Yucca St Ste B, Los Angeles, CA 90028-5037 2018-05-31
1083111553 Leslie Mieshelle Hill Community Health Worker 133 N. Sunol Dr. Rm 159, Los Angeles, CA 90033 2018-04-10
1033614243 Maria Eugenia Martinez-mejia Community Health Worker 1000 N Alameda St Ste 350, Los Angeles, CA 90012-1804 2018-03-28
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90064

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Dataset Information

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.

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