ELIZABETH MARY MEDINA (NPI# 1629549076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629549076 |
| Entity Type | Individual |
| Full Name | ELIZABETH MARY MEDINA |
| Other Name | ELIZABETH MARY BUHR |
| Credential | AG ACNP-BC |
| Practice Address |
1501 Trousdale Dr Burlingame CA 94010-4506 |
| Mailing Address |
5 Piedmont St Apt 2 San Francisco CA 94117-4534 |
| Practice Telephone | 6506965400 |
| Mailing Telephone | 6287776191 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NP95009719 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979365 | Elizabeth Anne Medina | Registered Nurse | 4320 Heavenly Ln, Prosper, TX 75078-9690 | 2019-12-19 |
| 1386289007 | Elizabeth Catherine Medina | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2019-11-18 |
| 1841739851 | Elizabeth Medina | Nurse Practitioner | 1000 W Carson St, Torrance, CA 90502-2004 | 2017-02-23 |
| 1285180844 | Elizabeth Medina | Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2016-09-01 |
| 1679027056 | Elizabeth Medina | Occupational Therapy Assistant | 3027 S New Haven Ave, Tulsa, OK 74114-6131 | 2016-08-15 |
| 1710362595 | Elizabeth Medina | Case Manager/Care Coordinator | 3939 Atlantic Ave, Suite 103, Long Beach, CA 90807 | 2015-07-22 |
| 1225421936 | Elizabeth May Medina | Occupational Therapist | 111 24th Ave Nw, Norman, OK 73069-6388 | 2015-03-05 |
| 1912396664 | Elizabeth Medina | Occupational Therapy Assistant | 1835 W La Veta Ave, Orange, CA 92868-4132 | 2015-01-19 |
| 1326316852 | Elizabeth Medina | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2011-12-12 |
| 1538466529 | Elizabeth Minges Medina | Nurse Practitioner | 261 Old York Rd, Suite 214, Jenkintown, PA 19046-3706 | 2011-02-28 |
| Street Address |
1501 TROUSDALE DR |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906272 | Vino J Verghese | Internal Medicine | 1501 Trousdale Dr, 3rd Floor, Burlingame, CA 94010-4506 | 2005-07-19 |
| 1518525690 | Chia-yu Nancy Liu | Dietitian, Registered | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2019-06-03 |
| 1134683162 | Hung Ngai Hui | Pharmacist | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2019-01-23 |
| 1518455062 | Jamie Christine Colgan | Occupational Therapist | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-04-30 |
| 1962901892 | Mae R Hynes | Dietitian, Registered | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-02-06 |
| 1104324151 | Jessica Sang Lee | Nurse Practitioner | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-01-24 |
| 1942715347 | Tanya Hower | Dietitian, Registered | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2017-12-06 |
| 1861918930 | Qia Zhang | Family Medicine | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2017-08-20 |
| 1417478652 | Ryan Hingorani | Family Medicine | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2017-06-28 |
| 1841710969 | Rebecca Opal Gillilan | Physician Assistant | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2017-06-20 |
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| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
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| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609173046 | Kelly Jean Cook | Nurse Practitioner | 1501 Trousdale Dr Fl 2, Burlingame, CA 94010-4506 | 2011-02-22 |
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| 1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
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| City | BURLINGAME |
| Zip Code | 94010 |
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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.