DR. JOHNNA LEIGH MEDINA (NPI# 1306492236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306492236 |
| Entity Type | Individual |
| Full Name | DR. JOHNNA LEIGH MEDINA |
| Credential | PHD |
| Practice Address |
401 Quarry Rd # Mc5718 Palo Alto CA 94304-1419 |
| Mailing Address |
2491 24th Ave San Francisco CA 94116-2336 |
| Practice Telephone | 6504974489 |
| Mailing Telephone | 8186323941 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
31454 | CA | Behavioral Health & Social Service Providers |
| Street Address |
401 QUARRY RD # MC5718 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255941753 | Mindy Penzias Dirks | Psychologist | 635 Bryant St # 7, Palo Alto, CA 94301-2502 | 2020-08-09 |
| 1962973321 | Hannah Leslie Weisman | Psychologist | 248 Homer Ave, Palo Alto, CA 94301-2722 | 2018-12-11 |
| 1235606401 | Karen E Otte | Psychologist | 550 Hamilton Ave Ste 240, Palo Alto, CA 94301-2044 | 2018-10-25 |
| 1124594114 | John Paul Rettger | Psychologist | 407 California Ave Ste 10, Palo Alto, CA 94306-1861 | 2018-10-17 |
| 1801361068 | Teresa Yeong-yi Pan | Psychologist | 3801 Miranda Avenue (116b), Palo Alto, CA 93404 | 2018-10-03 |
| 1992294920 | Kile Malcolm Ortigo | Psychologist | 415 Cambridge Ave Ste 8, Palo Alto, CA 94306-1608 | 2018-05-04 |
| 1003335936 | Yelena Blank | Psychologist | 3801 Miranda Ave # 116f, Palo Alto, CA 94304-1207 | 2017-09-12 |
| 1043735970 | Megan Elizabeth Kelly | Psychologist | 401 Quarry Rd # Mc5722, Palo Alto, CA 94304-1419 | 2017-08-11 |
| 1790145092 | Eval Gal-oz | Psychologist | 415 Cambridge Ave Ste 3, Palo Alto, CA 94306-1608 | 2016-02-29 |
| 1417314774 | Joan L Mendelson, Ph.d. | Psychologist | 560 Oxford Ave Ste 6b, Palo Alto, CA 94306-1139 | 2016-01-18 |
| Find all providers in PALO ALTO | ||||
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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.