GUSTAVO MEDINA (NPI# 1649394784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649394784 |
| Entity Type | Individual |
| Full Name | GUSTAVO MEDINA |
| Practice Address |
5100 Atlanta Way Sacramento CA 95841-2206 |
| Practice Telephone | 9167640112 |
| Mailing Telephone | 9167640112 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932134020 | Gustavo Medina | Physical Medicine & Rehabilitation | 130 Moorings Park Dr, Naples, FL 34105-2122 | 2006-07-11 |
| Street Address |
5100 ATLANTA WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95841-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794359 | Paris D Oceguera Torres | Behavior Technician | 5000 Auburn Blvd, Sacramento Maxim Healthcare, CA 95841 | 2018-06-19 |
| 1386196228 | Always Connected Incorporated | Community/Behavioral Health | 4738 Auburn Boulevard Suite 100, Sacramento, CA 95841 | 2016-10-26 |
| 1538619077 | Hashim Alhaidari | Pharmacist | 5002 Greenberry Drive, Sacramento, CA 95841 | 2016-10-08 |
| 1346588480 | Ucp of Sacramento and Northern California | Community/Behavioral Health | 4350 Auburn Blvd., Sacramento, CA 95841 | 2013-01-24 |
| 1962778639 | Mandi Elizabeth Mcbride | Counselor | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2012-03-28 |
| 1144595976 | Jesse John Echavarria | Counselor | 4441auburn Bvld, Suite E, Sacramento, CA 95841 | 2012-03-13 |
| 1780994269 | Jessica Hernandez | Behavioral Analyst | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841 | 2010-10-18 |
| 1386958262 | Altha Marie Gray-wilson | Counselor | 4141 Auburn Blvd, Sacramento, CA 95841 | 2010-08-03 |
| 1780900795 | Cynthia Jeanette Keeth | Counselor | 4441 Auburn Blvd., Suite E, Sacramento, CA 95841 | 2010-04-15 |
| 1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
| Find all providers in zip 95841 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1043824337 | Adonis R Johnson | Counselor | 2500 Marconi Ave, Sacramento, CA 95821-4853 | 2020-09-03 |
| 1528676160 | Hope Lynn Mulligan | Counselor | 2750 Sutterville Rd # Cottage1, Sacramento, CA 95820-1024 | 2020-07-20 |
| 1235756891 | Guneet Kaur | Counselor | 8247 E Stockton Blvd # 4, Sacramento, CA 95828-8200 | 2020-06-30 |
| 1073132635 | Gage Michael Smith | Counselor | 7055 Woodrick Way, Sacramento, CA 95842-2246 | 2020-04-14 |
| 1952935876 | Crystal S Nicholas | Counselor | 845 Fulton Ave Apt 1051, Sacramento, CA 95825-6434 | 2020-02-29 |
| 1255975827 | Molly Ritter | Counselor | 650 Bercut Dr Ste C, Sacramento, CA 95811-0100 | 2019-11-06 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95841 |
Please comment or provide details below to improve the information on GUSTAVO MEDINA.
| 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.