ELIZABETH MEDINA (NPI# 1710362595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710362595 |
| Entity Type | Individual |
| Full Name | ELIZABETH MEDINA |
| Practice Address |
3939 Atlantic Ave Suite 103 Long Beach CA 90807 |
| Mailing Address |
356 W 10th St San Pedro CA 90731-3716 |
| Practice Telephone | 5622646001 |
| Practice Fax Number | 5622646006 |
| Mailing Telephone | 5622646001 |
| Mailing Fax Number | 5622646006 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service 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 |
| 1629549076 | Elizabeth Mary Medina | Nurse Practitioner | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-12-11 |
| 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 |
| 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 |
3939 ATLANTIC AVE SUITE 103 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821043332 | Crystal Home Health Care Services,inc. | Home Health | 3939 Atlantic Ave, Suite 202, Long Beach, CA 90807-3536 | 2006-05-23 |
| 1659983617 | Lindsay Packard | Student in an Organized Health Care Education/Training Program | 3939 Atlantic Ave, Long Beach, CA 90807-3536 | 2020-08-20 |
| 1720603251 | Yordanos Zemuy | Rehabilitation Practitioner | 3939 Atlantic Ave, Long Beach, CA 90807-3536 | 2020-06-10 |
| 1831756634 | Katelyn Mendez | Case Manager/Care Coordinator | 3939 Atlantic Ave, Long Beach, CA 90807-3536 | 2019-05-28 |
| 1962971812 | Simple Health Acupuncture & Wellness, Inc. | Chiropractor | 3939 Atlantic Ave, Ste 223, Long Beach, CA 90807 | 2018-11-21 |
| 1083078638 | Herlinda Romero Cano | Rehabilitation Practitioner | 3939 Atlantic Ave, Suite #103, Long Beach, CA 90807-3536 | 2016-04-10 |
| 1275992232 | Sandra Michelle Hardy | Psychologist | 3939 Atlantic Ave, #108, Long Beach, CA 90807-3536 | 2016-02-18 |
| 1063870103 | My True Health Center Care Inc | Specialist | 3939 Atlantic Ave, Suite 100, Long Beach, CA 90807-3536 | 2016-02-03 |
| 1619349008 | Vannary Norith | Counselor | 3939 Atlantic Ave, Long Beach, CA 90807-3536 | 2015-10-23 |
| 1700262482 | German Arellano | Chiropractor | 3939 Atlantic Ave, Suite 223, Long Beach, CA 90807-3536 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701937 | Katherine Rose Little | Case Manager/Care Coordinator | 4510 E Pacific Coast Hwy Ste 430, Long Beach, CA 90804-6937 | 2020-08-19 |
| 1093359762 | Somnon Kann | Case Manager/Care Coordinator | 1355 Redondo Ave Ste 9, Long Beach, CA 90804-2845 | 2019-11-05 |
| 1730720954 | Eileen Austria Om | Case Manager/Care Coordinator | 311 E Cummings Ln, Long Beach, CA 90805-1315 | 2019-09-30 |
| 1760949895 | Annabelle Bassalla Simba | Case Manager/Care Coordinator | 3530 Atlantic Ave Ste 200, Long Beach, CA 90807-4569 | 2019-02-25 |
| 1568940518 | Julia Ornelas | Case Manager/Care Coordinator | 40 Alamitos Ave Apt 203, Long Beach, CA 90802-5483 | 2018-08-01 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1033645114 | Cutberto Morales Jr. | Case Manager/Care Coordinator | 200 Pine Ave, Suite 400, Long Beach, CA 90802-3041 | 2017-05-10 |
| 1730614496 | William Woodbury | Case Manager/Care Coordinator | 6321 Coronado Ave, Long Beach, CA 90805-3809 | 2017-05-01 |
| 1932646130 | Melissa Merman | Case Manager/Care Coordinator | 10 Monroe Blvd Apt 3h, Long Beach, NY 11561-4342 | 2017-01-25 |
| 1396295648 | Samuel Lee | Case Manager/Care Coordinator | 1025 Palo Verde Ave, Apt 13, Long Beach, CA 90815-4645 | 2016-10-11 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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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.