FERNANDO MEDINA (NPI# 1003071184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003071184 |
Entity Type | Individual |
Full Name | FERNANDO MEDINA |
Credential | ORTHOTIST |
Practice Address |
13340 Firestone Blvd Unit G Santa Fe Springs CA 90670-5558 |
Practice Telephone | 9513510019 |
Practice Fax Number | 9513511279 |
Mailing Telephone | 9513510019 |
Mailing Fax Number | 9513511279 |
Enumeration Date | 2008-07-28 |
Last Update Date | 2008-07-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | C36368 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669561718 | Fernando Medina | Psychologist | Condominio Las Torres, Suite 6e, Torre Sur, Bayamon, PR 00959 | 2006-10-12 |
1073006730 | Fernando Medina | Physician Assistant | 170 William St, New York, NY 10038-2612 | 2018-06-07 |
1194741637 | Fernando Medina | Anesthesiology | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2006-07-15 |
Street Address |
13340 FIRESTONE BLVD UNIT G |
City | SANTA FE SPRINGS |
State | CA |
Zip Code | 90670-5558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588283279 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 11721 East Telegraph Road Unit I, Santa Fe Springs, CA 90670 | 2020-04-13 |
1487205563 | Jurrell Davis | Counselor | 16332 Marvene Dr., Santa Fe Springs, CA 90670 | 2019-09-20 |
1003370065 | Amber D Perez-riggins | Counselor | 11015 Bloomfiled Ave, Santa Fe Springs, CA 90670 | 2019-01-24 |
1154832749 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 12580 Lakeland Road, Santa Fe Springs, CA 90670 | 2017-10-23 |
1518481001 | Cecilia Bueno | Case Manager/Care Coordinator | 11721 Telegraph Rd, Santa Fe Springs, CA 90670 | 2017-07-27 |
1447773148 | Richard Paige | Counselor | 10425 S. Painter Ave., Santa Fe Springs, CA 90670 | 2017-07-25 |
1326578709 | Mariah Patricia Ramirez | Counselor | 11741 Telegraph Rd Ste A-d, Santa Fe Springs, CA 90670 | 2017-06-18 |
1578947446 | Robynn Coleman | In Home Supportive Care | 10510 Maple Lane, Santa Fe Springs, CA 90670 | 2015-07-10 |
1003218314 | Norma Gonzalez | Case Manager/Care Coordinator | 11741 E. Telegraph Road, Santa Fe Springs, CA 90670 | 2014-09-17 |
1932510617 | Antonio Matinez Sr. | Rehabilitation Practitioner | 10012 Norwalk Blvd Suite 140, Santa Fe Springs, CA 90670 | 2014-05-15 |
Find all providers in zip 90670 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780284851 | Hannah Mckinsey Oltrogge | Orthotist | 1260 S Main St Ste 102, Salinas, CA 93901-2292 | 2020-10-28 |
1639789779 | Dynamics Orthotics & Prosthetics, Inc | Orthotist | 2150 N Waterman Ave Ste 301, San Bernardino, CA 92404-4811 | 2020-08-04 |
1043833619 | Tim Shride | Orthotist | 3800 Watt Ave Ste 151, Sacramento, CA 95821-2688 | 2020-05-18 |
1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
1558994129 | Jacy Kay Young | Orthotist | 1247 E Alluvial Ave Ste 112, Fresno, CA 93720-2686 | 2020-02-21 |
1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
1629628243 | Christian Rae Figueroa | Orthotist | 19845 Lake Chabot Rd Ste 302, Castro Valley, CA 94546-4055 | 2019-09-16 |
1710534821 | Alpha Iscandari Sanusi | Orthotist | 1760 Chicago Ave Ste L21, Riverside, CA 92507-2326 | 2019-08-22 |
1255998290 | West Coast Dme & Supplies LLC | Orthotist | 8322 Clairemont Mesa Blvd Ste 105, San Diego, CA 92111-1317 | 2019-05-24 |
1043876162 | Kadesh Gamall Gayle | Orthotist | 20595 Spring St, Riverside, CA 92507-0128 | 2019-05-14 |
Find all providers with the same taxonomy |
City | SANTA FE SPRINGS |
Zip Code | 90670 |
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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.