KATHERINE IVONNE MEDINA (NPI# 1770064313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770064313 |
Entity Type | Individual |
Full Name | KATHERINE IVONNE MEDINA |
Practice Address |
1231 E Dyer Rd Ste 275 Santa Ana CA 92705-5668 |
Mailing Address |
1231 E Dyer Rd Ste 135 Santa Ana CA 92705-5643 |
Practice Telephone | 7149446987 |
Mailing Telephone | 7149447900 |
Enumeration Date | 2018-08-22 |
Last Update Date | 2020-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306136049 | Katherine Beth Medina | Case Manager/Care Coordinator | 331 Hunters Way, Apt A, Cheyenne, WY 82007-2380 | 2011-04-14 |
1346719804 | Katherine Medina | Nurse Practitioner | 3950 Kresge Way Ste 308, Louisville, KY 40207-4637 | 2018-11-14 |
1841742525 | Katherine Medina | Behavioral Analyst | 12485 Sw 137th Ave Ste 301, Miami, FL 33186-4219 | 2016-10-28 |
1457603839 | Katherine Medina | Physical Therapist | 1301 Hwy 407, Suite 206, Lewisville, TX 75077-2124 | 2012-10-09 |
1376609917 | Katherine Leones Medina | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-12-28 |
Street Address |
1231 E DYER RD STE 275 |
City | SANTA ANA |
State | CA |
Zip Code | 92705-5668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568904902 | Tanya Carter | Counselor | 1231 E Dyer Rd Ste 275, Santa Ana, CA 92705-5668 | 2016-11-16 |
1831612142 | Kristin Swinford | Marriage & Family Therapist | 1231 E Dyer Rd Ste 275, Santa Ana, CA 92705-5668 | 2017-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
Find all providers in zip 92705 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
1871113175 | Sandy Nunez | Counselor | 1200 N Main St Fl 2, Santa Ana, CA 92701-3640 | 2020-04-16 |
1336794056 | Eduardo Lopez | Counselor | 727 S Lyon St Apt B204, Santa Ana, CA 92705-7200 | 2019-08-08 |
1356902597 | Shannon Kilgore | Counselor | 2030 E 4th St Ste C-23220, Santa Ana, CA 92705-3940 | 2019-06-27 |
1699338475 | Kemper Ian Gottshall | Counselor | 1300 S Grand Ave Bldg C2, Santa Ana, CA 92705-4434 | 2019-04-17 |
1013475649 | Shaneska Frederique | Counselor | 1551 W Walnut St Unit 50, Santa Ana, CA 92703-6314 | 2019-03-02 |
1659835296 | Rebecca Christina Gastelum | Counselor | 505 N Tustin Ave Ste 233, Santa Ana, CA 92705-3775 | 2019-01-28 |
1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
1568942688 | Giovanni Casas | Counselor | 2717 W Carlton Pl, Santa Ana, CA 92704-4022 | 2018-08-17 |
Find all providers in SANTA ANA |
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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.