IZAMAR MEDINA (NPI# 1639549686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639549686 |
| Entity Type | Individual |
| Full Name | IZAMAR MEDINA |
| Credential | B.A |
| Practice Address |
3400 Mccall Ave Ste 104 Selma CA 93662-2560 |
| Mailing Address |
258 N Blackstone Ave Fresno CA 93701-1913 |
| Practice Telephone | 5598917005 |
| Mailing Telephone | 5592740299 |
| Mailing Fax Number | 5592680469 |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3400 MCCALL AVE STE 104 |
| City | SELMA |
| State | CA |
| Zip Code | 93662-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477725984 | Nikita Dixon | Psychiatry & Neurology | 3400 Mccall Ave Ste 104, Selma, CA 93662-2560 | 2008-03-25 |
| 1558810747 | Mayra Maldonado | Marriage & Family Therapist | 3400 Mccall Ave Ste 104, Selma, CA 93662-2560 | 2016-09-28 |
| 1326406513 | Adilene Cisneros Juarez | Counselor | 3400 Mccall Ave Ste 104, Selma, CA 93662-2560 | 2016-02-03 |
| 1760829410 | Turning Point of Central Ca., Inc. | Counselor | 3400 Mccall Ave Ste 104, Selma, CA 93662-2560 | 2013-06-03 |
| 1447549696 | Marcos Manuel Gonzalez | Marriage & Family Therapist | 3400 Mccall Ave Ste 104, Selma, CA 93662-2560 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215416839 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2705 S Highland Ave, Selma, CA 93662 | 2018-08-14 |
| 1265930598 | Sharon King | Home Health Aide | 6296 E. Mt. View Ave, Selma, CA 93662 | 2018-02-01 |
| 1174972095 | Ranjit Kaur | Nurse's Aide | 1805 Aspen Street, Selma, CA 93662 | 2016-06-10 |
| 1548629223 | Navjot Sihota | Dentist | 14409 South Dewolf Ave, Selma, CA 93662 | 2016-02-23 |
| 1437482676 | K.w. Kim, A Professional Corp | Internal Medicine | 1205 Evergreen Street, Selma, CA 93662 | 2009-09-04 |
| 1467638536 | Lungren Chiropractic Center Inc | Chiropractor | 1850 Floral Ave, Selma, CA 93662 | 2008-01-18 |
| 1164634333 | Gerald Lynn Thomas | Pharmacist | 2640 Floral Ave, Selma, CA 93662 | 2007-05-03 |
| 1306989652 | Donald Henry Jacobsen | Dentist | 1221 Rose Ave, Selma, CA 93662 | 2007-02-15 |
| 1306988746 | California Occupational Medicine Practice Inc | Preventive Medicine | 1142 Rose Avenue, Selma, CA 93662 | 2007-02-13 |
| 1962548925 | Courtney Joseph Moore | Physical Therapist | 2251 Country Club Lane, Selma, CA 93662 | 2007-01-29 |
| Find all providers in zip 93662 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259844 | Elisa Hinojosa | Counselor | 8610 E Khan St, Selma, CA 93662-2028 | 2020-09-11 |
| 1982989596 | Carbestha Tate-braxton Barker | Counselor | 313 Woodrow Ave, Selma, AL 36701-6071 | 2011-10-14 |
| 1053877365 | Amy Collins Carmichael | Counselor | 10096 Al Highway 14 W, Selma, AL 36701-1657 | 2019-02-12 |
| 1356812473 | Rhonda Gail Lott | Counselor | 1306 Old Orrville Rd, Selma, AL 36701-6931 | 2018-12-16 |
| 1154840528 | Angela Marie Garcia | Counselor | 2020 High St, Selma, CA 93662-3518 | 2017-09-16 |
| 1730457193 | Kim J Kelly | Counselor | 200 S Pollock St, Selma, NC 27576-3062 | 2011-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1184224693 | Enrique L Hinojosa | Counselor | 817 S Fairmont Ave, Lodi, CA 95240-5116 | 2020-10-26 |
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
| 1689271454 | Skycare Cuidado Del Cielo LLC | Counselor | 7890 E Spring St Unit 10d, Long Beach, CA 90815-1622 | 2020-10-05 |
| 1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.