Active NPI
Christine Medina, SLP
- Speech-Language Pathologist
- Centura, CA
National Provider Identifier
1003272089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 29935
- Practice address
- 1857 Knoll Drive
Centura, CA 93003 - Phone
- (805) 667-8200
- Fax
- (805) 667-8201
- NPI assigned
- Jan 6, 2016
- Last updated
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ9021 | FL | |
| Speech-Language Pathologist | 235Z00000X | 2202012600 | VA | |
| Speech-Language Pathologist | 235Z00000X | 29935 | CA | Primary |
Addresses
Primary practice location
1857 Knoll Drive
Centura, CA 93003
Mailing address
1857 Knoll Drive
Centura, CA 93003
Phone (805) 667-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29935 | CA | MD | Speech-Language Pathologist |
| SZ9021 | FL | MD | Speech-Language Pathologist |
| 2202012600 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Therapy Network, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1857 Knoll Dr
Ventura, CA 93003
Phone (805) 217-3307
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Ventura, CA
- NPI 1427241264
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1003272089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1857 KNOLL DRIVE",
"city": "CENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-667-8200",
"fax_number": "805-667-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1857 KNOLL DRIVE",
"city": "CENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "805-667-8200",
"fax_number": "805-667-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "CHRISTINE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ9021",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202012600",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "29935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.