JOSE JAVIER MEDINA (NPI# 1922519487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922519487 |
| Entity Type | Individual |
| Full Name | JOSE JAVIER MEDINA |
| Credential | MA, MFTA |
| Practice Address |
3301 E 12th St Oakland CA 94601-3424 |
| Mailing Address |
1327 Ashby Ave Apt A Berkeley CA 94702-2446 |
| Practice Telephone | 5102699030 |
| Mailing Telephone | 8312545970 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 102728 | CA | Behavioral Health & Social Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 102728 | CA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537107 | Jose German Medina | Specialist/Technologist, Other | 10881 Nw 75th St, Medley, FL 33178-2206 | 2018-11-13 |
| 1396022562 | Jose Luis Medina | Community/Behavioral Health | 106 W 53rd St Apt 26, Bayonne, NJ 07002-3356 | 2011-11-15 |
| 1811029143 | Jose F Medina | General Practice | 18 Calle Bou, Barrio Pueblo, Corozal, PR 00783-2011 | 2007-03-12 |
| 1417944513 | Jose Medina | Internal Medicine | 3334 Greystone Way, Valdosta, GA 31605 | 2005-10-04 |
| 1821551748 | Jose Sebastian Medina | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 301, Philadelphia, PA 19107-4405 | 2019-04-08 |
| 1841643954 | Jose Ernesto Medina | Counselor | 3117 Wilson Rd, Bakersfield, CA 93304-5319 | 2016-07-14 |
| 1265801286 | Jose L. Medina | Counselor | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2015-09-21 |
| 1922404805 | Jose Medina | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2014-11-05 |
| 1720302466 | Jose Medina | Physician Assistant | 81 Willoughby St, 4th Floor, Brooklyn, NY 11201-5291 | 2010-03-24 |
| 1841431087 | Jose Miguel Medina | Nurse Practitioner | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2009-03-18 |
| Street Address |
3301 E 12TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428942 | Payam Zarehbin | Optometrist | 3301 E 12th St, Ste 109, Oakland, CA 94601-2943 | 2005-06-25 |
| 1245839471 | Sarah Delmonte | Counselor | 3301 E 12th St, Oakland, CA 94601-3424 | 2020-10-19 |
| 1558975912 | Erica Luann Harland | Counselor | 3301 E 12th St, Oakland, CA 94601-3424 | 2020-09-03 |
| 1417566456 | Melissa Nicolle Martinez | Counselor | 3301 E 12th St, Oakland, CA 94601-3424 | 2020-07-27 |
| 1588272439 | Blair Newman | Counselor | 3301 E 12th St, Oakland, CA 94601-3424 | 2020-07-16 |
| 1073139275 | Candice Silveira-carpenter | Student in an Organized Health Care Education/Training Program | 3301 E 12th St, Oakland, CA 94601-3424 | 2020-06-23 |
| 1972126878 | Pamela Alfaro | Counselor | 3301 E 12th St, Oakland, CA 94601-3424 | 2020-05-26 |
| 1346862349 | Shaina Lucie Joseph | Counselor | 3301 E 12th St, Oakland, CA 94601-3424 | 2020-05-12 |
| 1790306561 | Meagan Eliana Scott | Counselor | 3301 E 12th St, Oakland, CA 94601-3424 | 2020-05-02 |
| 1386278539 | Neyguis Nathalys Puerta Mejias | Counselor | 3301 E 12th St, Oakland, CA 94601-3424 | 2020-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| 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 |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1316553290 | Yohannes Fesseha Gebrehiwet | Student in an Organized Health Care Education/Training Program | 2221 9th Ave, Oakland, CA 94606-2613 | 2020-09-16 |
| 1700490729 | Briauna J Taylor | Student in an Organized Health Care Education/Training Program | 1638 47th Ave, Oakland, CA 94601-5273 | 2020-09-08 |
| 1578174116 | Jenae Monasterial | Student in an Organized Health Care Education/Training Program | 1722 Clemens Rd, Oakland, CA 94602-1802 | 2020-08-16 |
| 1205447299 | Brendan Mulligan | Student in an Organized Health Care Education/Training Program | 530 24th St Apt 202, Oakland, CA 94612-1723 | 2020-08-12 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1043836778 | Ali Khavari | Student in an Organized Health Care Education/Training Program | 450 30th St Ste 2860, Oakland, CA 94609-3302 | 2020-06-18 |
| 1952925208 | Melodee Edith Au | Student in an Organized Health Care Education/Training Program | 2445 Telegraph Ave Apt 305, Oakland, CA 94612-2426 | 2020-06-02 |
| 1871116913 | Stew Ellington | Student in an Organized Health Care Education/Training Program | 420 Avon St, Oakland, CA 94618-1024 | 2020-05-23 |
| Find all providers in OAKLAND | ||||
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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.