BRANDI MEDINA (NPI# 1295360782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295360782 |
| Entity Type | Individual |
| Full Name | BRANDI MEDINA |
| Practice Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9712066337 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
0000000 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0000000000 | 05 | |
| AETNA | 808409140860054 | 01 | |
| TX | AETNA | 0000000000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835998 | Brandi N Medina | Speech-Language Pathologist | 141 State St, Bridgeport, WV 26330-1375 | 2019-11-13 |
| 1700344397 | Brandi Medina | Counselor | 5820 York Rd Ste 201, Baltimore, MD 21212-3620 | 2019-03-04 |
| Street Address |
21600 OXNARD ST STE 1800 |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689897894 | Jolene Sy | Student in an Organized Health Care Education/Training Program | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2007-04-10 |
| 1356942049 | Hannah Heath | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2020-11-08 |
| 1801497805 | Jazmine Alexis Bright | Behavioral Analyst | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2020-11-05 |
| 1568060028 | Fabianna Ivette Gonzalez | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2020-10-15 |
| 1649878141 | Noa Elise Gorgas | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2020-10-15 |
| 1811595606 | Nikketa R Clark | Behavioral Analyst | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2020-10-13 |
| 1851998637 | Rhanaja Manuel | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2020-10-05 |
| 1629685367 | Alexis Carpio Diaz | Behavioral Analyst | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2020-09-27 |
| 1558976191 | Jamie Tin | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2020-09-10 |
| 1558975482 | Adrienne Janee Tobar | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497846638 | Sofia Vaisman | Family Medicine | 22600 Ventura Blvd Ste 101, Woodland Hills, CA 91364-1430 | 2006-09-27 |
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| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | WOODLAND HILLS |
| Zip Code | 91367 |
Please comment or provide details below to improve the information on BRANDI 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.