JESSICA MEDINA (NPI# 1922441286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922441286 |
| Entity Type | Individual |
| Full Name | JESSICA MEDINA |
| Practice Address |
8550 Balboa Blvd Ste 150 Northridge CA 91325-3562 |
| Practice Telephone | 8187395109 |
| Mailing Telephone | 8187395109 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2015-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 7184 | 01 |
| CA | MEDI-CAL | 7667 | 01 |
| CA | MEDI-CAL | 7368 | 01 |
| CA | MEDI-CAL | 7708 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711773 | Jessica Nicole Medina | Registered Nurse | 156 W Tahoe Dr, Savannah, GA 31405-9421 | 2019-10-10 |
| 1699833350 | Jessica Angelica Medina | Respite Care | 5540 W Iowa St, Tucson, AZ 85757-9353 | 2006-12-05 |
| 1952911570 | Jessica Cobian Medina | Counselor | 125 W F St, Ontario, CA 91762-3201 | 2020-08-07 |
| 1831699438 | Jessica Lynn Medina | Occupational Therapy Assistant | 216 E Interstate 2 Ste K, Pharr, TX 78577-6505 | 2018-02-20 |
| 1316318082 | Jessica Medina | Social Worker | 9119 S Exchange Ave, Chicago, IL 60617 | 2015-10-07 |
| 1881013027 | Jessica Medina | Pediatrics | 25845 Barton Rd, Loma Linda, CA 92354-3899 | 2014-04-15 |
| 1144559188 | Jessica Medina | Optometrist | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2009-12-22 |
| Street Address |
8550 BALBOA BLVD STE 150 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285779553 | Child and Family Guidance Center | Case Management | 8550 Balboa Blvd, Suite 150, Northridge, CA 91325-3562 | 2007-02-21 |
| 1083168611 | Monica Roxana Vento | Social Worker | 8550 Balboa Blvd, Northridge, CA 91325 | 2016-08-11 |
| 1104250612 | Georgina Garay-lozano | Marriage & Family Therapist | 8550 Balboa Blvd, Suite 216, Northridge, CA 91325 | 2013-09-03 |
| 1861825390 | Tatiana Lizbeth Montes | Social Worker | 8550 Balboa Blvd, Northridge, CA 91325-3562 | 2013-08-20 |
| 1134484256 | Susana Rodriguez | Social Worker | 8550 Balboa Blvd, Suite 150, Northridge, CA 91325-3562 | 2012-07-05 |
| 1356632731 | Elizabeth Mcguire | Psychiatry & Neurology | 8550 Balboa Blvd, Suite 150, Northridge, CA 91325-3562 | 2011-04-20 |
| 1285953489 | Mayra Martinez | Social Worker | 8550 Balboa Blvd, Suite 150, Northridge, CA 91325-3562 | 2010-05-27 |
| 1154445260 | Aida Hortencia Valdivia | Marriage & Family Therapist | 8550 Balboa Blvd, Suite 150, Northridge, CA 91325-3562 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| 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 |
|---|---|---|---|---|
| 1346787009 | Julia Malagon | Case Manager/Care Coordinator | 9423 Reseda Blvd, Northridge, CA 91324-2988 | 2017-01-19 |
| 1114475282 | Shannon Hartman | Case Manager/Care Coordinator | 9003 Reseda Blvd Ste 103, Northridge, CA 91324-3939 | 2016-09-16 |
| 1871985523 | Our Sweet Home, Inc. | Case Manager/Care Coordinator | 10150 Melvine Ave., Northridge, CA 91324 | 2015-03-04 |
| 1225447311 | Yesenia Contreras | Case Manager/Care Coordinator | 8330 Reseda Blvd., Northridge, CA 91324 | 2014-08-04 |
| 1588905616 | Roya Najafi Sales | Case Manager/Care Coordinator | 8458 Canby Ave, Northridge, CA 91325-3704 | 2013-03-14 |
| 1487251724 | Estela Maria Godina | Case Manager/Care Coordinator | 16861 Parthenia St, Northridge, CA 91343-4539 | 2020-10-08 |
| 1346856903 | Armando Andres Barrientos | Case Manager/Care Coordinator | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-09-18 |
| 1760092464 | Clarissa Victoria Sanchez | Case Manager/Care Coordinator | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-08-06 |
| 1316564222 | Daurah Bernadette Williams | Case Manager/Care Coordinator | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-06-26 |
| 1619598224 | Catrina Taylor Robin | Case Manager/Care Coordinator | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2020-05-05 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
Please comment or provide details below to improve the information on JESSICA 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.