MANUEL MEDINA III (NPI# 1952498867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952498867 |
| Entity Type | Individual |
| Full Name | MANUEL MEDINA III |
| Credential | PAC |
| Practice Address |
610 W 17th St Santa Ana CA 92706-3621 |
| Practice Telephone | 7145414090 |
| Practice Fax Number | 7145418815 |
| Mailing Telephone | 7145414090 |
| Mailing Fax Number | 7145418815 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | PA13808 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740345404 | Manuel L. Medina | Social Worker | 4020 N Zapotec Ave, Eloy, AZ 85231-1160 | 2006-12-23 |
| 1205814761 | Manuel Medina | Radiology | Carr. #2 Marginal Urb. Villa Real, D-10, Vega Baja, PR 00693 | 2006-01-05 |
| 1922005701 | Manuel Medina | Surgery | 1801 Ave Ponce De Leon, Suite 304, San Juan, PR 00909-1900 | 2005-07-07 |
| 1538792577 | Manuel Medina | Social Worker | 3414 W 84th St Ste 100, Hialeah Gardens, FL 33018-4932 | 2020-02-18 |
| 1003454307 | Manuel J Medina | Behavior Technician | 2700 S Shartel Ave, Oklahoma City, OK 73109-2234 | 2019-12-17 |
| 1558651935 | Manuel Medina | Student in an Organized Health Care Education/Training Program | 1801 Ave Ponce De Leon, San Juan, PR 00909-1900 | 2011-04-19 |
| 1629004700 | Manuel Medina | Anesthesiology | 355 Bard Ave, Staten Island, NY 10310 | 2006-06-23 |
| Street Address |
610 W 17TH ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881894848 | William Eugene Wantland | Physician Assistant | 610 W 17th St, Santa Ana, CA 92706-3621 | 2007-07-18 |
| 1851423925 | Sa Medical Center Inc. | Family Medicine | 610 W 17th St, Santa Ana, CA 92706-3621 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822360 | Saint Youstina | Family Medicine | 809 S Main St Apt A, Santa Ana, CA 92701-6605 | 2019-10-15 |
| 1063927697 | Healthrive Medical Group | Family Medicine | 201 Sandpointe Ave Ste 600, Santa Ana, CA 92707-8700 | 2017-12-05 |
| 1093248510 | Ravi Prakash Bhakta | Family Medicine | 901 W Civic Center Dr Ste 120, Santa Ana, CA 92703-2380 | 2017-04-11 |
| 1770944019 | Alonzo Ellis Lockhart | Family Medicine | 1329 E. First Street, Santa Ana, CA 92701-6310 | 2016-03-15 |
| 1982002598 | Quang Binh Nguyen | Family Medicine | 202 N Euclid St Ste 103, Santa Ana, CA 92703-3006 | 2014-12-12 |
| 1598165201 | Bristol Plaza Family Medicine, A Professional Medical Corporation | Family Medicine | 3743 So Plaza Drive, Santa Ana, CA 92704 | 2014-08-29 |
| 1649614827 | Monica J. Ball-zondervan | Family Medicine | 1100b N Tustin Ave Ste A, Santa Ana, CA 92705 | 2013-04-18 |
| 1114269404 | Universa Medica Healh,inc | Family Medicine | 1125 E 17th St Ste 106, Santa Ana, CA 92701-2201 | 2013-03-25 |
| 1083962872 | Souhail N/a Toubia | Family Medicine | 2141 S Standard Ave, Santa Ana, CA 92707-3034 | 2012-08-27 |
| 1770852659 | Teresa Flores | Family Medicine | 1014 N Broadway, Santa Ana, CA 92701-3408 | 2011-12-21 |
| Find all providers in SANTA ANA | ||||
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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.