CHARLENE MEDINA (NPI# 1659628907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659628907 |
| Entity Type | Individual |
| Full Name | CHARLENE MEDINA |
| Credential | CAARR |
| Practice Address |
610 N Central Ave Suite 106 Glendale CA 91203-1403 |
| Practice Telephone | 8185510026 |
| Practice Fax Number | 8185510027 |
| Mailing Telephone | 8185510026 |
| Mailing Fax Number | 8185510027 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
610 N CENTRAL AVE SUITE 106 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740203777 | Vahe Stephan Yacoubian | Specialist | 610 N Central Ave, Suite 105, Glendale, CA 91203-1403 | 2006-07-25 |
| 1750640736 | Medstar Physical Therapy. Inc. | Preferred Provider Organization | 610 N Central Ave, Suite 202, Glendale, CA 91203-1403 | 2012-05-10 |
| 1407157878 | Samuel A Malayan Medical Corp | Family Medicine | 610 N Central Ave, Suite 301, Glendale, CA 91203-1403 | 2010-11-16 |
| 1538479563 | Soo Gyung Kim | Acupuncturist | 610 N Central Ave, Suite 202, Glendale, CA 91203-1403 | 2010-10-08 |
| 1720314271 | California Care Corp | Health Maintenance Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2009-10-19 |
| 1205070463 | Robin Stacy Long | Chiropractor | 610 N Central Ave, Suite 108, Glendale, CA 91203-1403 | 2009-04-30 |
| 1871743278 | California Care Corp | Preferred Provider Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2008-09-23 |
| 1467609917 | California Care Corporation | Exclusive Provider Organization | 610 N Central Ave, Suite 106, Glendale, CA 91203-1403 | 2008-08-26 |
| 1306001979 | Rodrik Khosrovian | Chiropractor | 610 N Central Ave, Suite 108, Glendale, CA 91203-1403 | 2008-07-23 |
| 1316110885 | California Care Inc | Exclusive Provider Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2008-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
| 1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
| 1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
| 1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
| Find all providers in zip 91203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509833 | Helen C Tuwei | Counselor | 4449 W Keating Cir, Glendale, AZ 85308-3549 | 2020-02-05 |
| 1902469547 | Nustart Inc | Counselor | 6608 San Fernando Rd, Glendale, CA 91201-1703 | 2019-04-18 |
| 1528529856 | Empowerment Behavioral Care LLC | Counselor | 6448 W Colter St, Glendale, AZ 85301-6527 | 2019-03-28 |
| 1881168813 | Jessica Martinez | Counselor | 632 Naranja Dr, Glendale, CA 91206-2522 | 2019-01-12 |
| 1710459359 | David Ibrahim | Counselor | 100 N Brand Blvd Ste 412, Glendale, CA 91203-2614 | 2018-12-20 |
| 1104308683 | David Gleghorn | Counselor | 6610 N 47th Ave Ste 678, Glendale, AZ 85301-4163 | 2018-08-31 |
| 1033590344 | Eryn Elizabeth Cloutier | Counselor | 7468 W Irma Ln, Glendale, AZ 85308-9662 | 2015-06-11 |
| 1326439811 | Robert D Klimek | Counselor | 4425 W Olive Ave Ste 200&140, Glendale, AZ 85302-3843 | 2015-02-05 |
| 1932549938 | Narine Jugharyan | Counselor | 501 E. Harvard Street, Unit A, Glendale, CA 91205 | 2013-07-05 |
| 1316385040 | Victor Rivera | Counselor | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 | 2013-06-04 |
| Find all providers in GLENDALE | ||||
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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.