CARLA MEDINA (NPI# 1548703408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548703408 |
| Entity Type | Individual |
| Full Name | CARLA MEDINA |
| Credential | NP |
| Practice Address |
1975 4th St Box 4012 San Francisco CA 94143-2351 |
| Mailing Address |
2020 Green St Apt 6 San Francisco CA 94123-4824 |
| Practice Telephone | 4155995795 |
| Mailing Telephone | 4155995795 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
95005236 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1975 4TH ST BOX 4012 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902841869 | Gail Sumiko Shibata | Anesthesiology | 1975 4th St, San Francisco, CA 94143-2351 | 2006-06-17 |
| 1023618394 | Kathrine Lee | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2020-10-27 |
| 1235742081 | Molly Moran Gorgol | Dietitian, Registered | 1975 4th St, San Francisco, CA 94143-2351 | 2020-08-30 |
| 1043832553 | Molly Koren | Social Worker | 1975 4th St, San Francisco, CA 94143-2351 | 2020-05-07 |
| 1396374849 | Kaitlyn Rose Kelley | Registered Nurse | 1975 4th St, San Francisco, CA 94143-2351 | 2020-04-06 |
| 1770119794 | Daniel Gonzalo Pique | Student in an Organized Health Care Education/Training Program | 1975 4th St, San Francisco, CA 94143-2351 | 2020-03-21 |
| 1215569546 | Christine Matthews-patrick | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2020-02-05 |
| 1881231066 | Caralisa Lacson | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2019-12-05 |
| 1770126328 | Rachel Leigh Carter | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2019-10-25 |
| 1932759735 | Grace Isabella Nelson | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2019-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379445 | Brenna Day Esparza | Nurse Practitioner | 1975 4th St # 4012, San Francisco, CA 94143-2351 | 2018-03-16 |
| 1477718161 | Debra Jean Hummel | Nurse Practitioner | Ucsf Childrens Hospital, 505 Parnassus Avenue, San Francisco, CA 94143-0001 | 2008-07-23 |
| 1023618394 | Kathrine Lee | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2020-10-27 |
| 1215569546 | Christine Matthews-patrick | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2020-02-05 |
| 1669813382 | Kelly Mcmillan Raskoff | Nurse Practitioner | 1975 4th St, Intensive Care Nursery- 3rd Floor, San Francisco, CA 94143-2351 | 2013-07-10 |
| 1972846418 | Jeannie Y Chan | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2013-04-03 |
| 1134401201 | Robin Jean Niemeier | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2011-09-15 |
| 1508180795 | Christine Gallagher Smith | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2010-03-17 |
| 1033431259 | Taryn Clissold | Nurse Practitioner | 505 Parnassus Ave, 15 Icn, San Francisco, CA 94143-2204 | 2010-02-16 |
| 1265764674 | Laurel Anne Pershall | Nurse Practitioner | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2010-02-10 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
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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.