KIMBERLY SAMANTHA MEDINA (NPI# 1063994788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063994788 |
| Entity Type | Individual |
| Full Name | KIMBERLY SAMANTHA MEDINA |
| Practice Address |
1200 Wilshire Blvd Ste 300 Los Angeles CA 90017-1931 |
| Practice Telephone | 2134817464 |
| Practice Fax Number | 2134817147 |
| Mailing Telephone | 2134817464 |
| Mailing Fax Number | 2134817147 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107367 | Kimberly Medina | Community Health Worker | 3127 E Warm Springs Rd Ste 300, Las Vegas, NV 89120-3134 | 2020-09-02 |
| 1942829510 | Kimberly J Medina | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-04-13 |
| 1922669878 | Kimberly Medina | Behavior Technician | 5762 Bolsa Ave Ste 100, Huntington Beach, CA 92649-1172 | 2019-06-21 |
| 1922568419 | Kimberly Ann Medina | Marriage & Family Therapist | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2019-03-21 |
| Street Address |
1200 WILSHIRE BLVD STE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346434818 | Erica Irene Schaecher | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2007-08-28 |
| 1124631825 | Amy Pedroza | Social Worker | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2020-08-24 |
| 1750927729 | Alejandro Sigala | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-11-25 |
| 1336790203 | Deisy Kim | Counselor | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-09-23 |
| 1538713508 | Yesenia Gutierrez | Case Manager/Care Coordinator | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-07-29 |
| 1043872906 | Gentiane Tc Toto | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-07-01 |
| 1215597711 | Natasha Aftandilians | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-06-17 |
| 1982269726 | Bryant Soto | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017 | 2019-05-07 |
| 1124580923 | Gabriela Licea | Case Manager/Care Coordinator | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-04-02 |
| 1679033856 | Christina Paulina Briones | Social Worker | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on KIMBERLY SAMANTHA 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.