Andrew Shou Medina

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

5506 Candlelight Dr
La Jolla, CA 92037-7711

Phone

(858) 459-8861

NPI assigned

Oct 8, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1033084025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 SUNROAD CENTRUM LN APT 430",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232057",
            "telephone_number": "530-681-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5506 CANDLELIGHT DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377711",
            "telephone_number": "858-459-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ANDREW",
        "middle_name": "SHOU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Medak, MD
• Fernando Mediano
• Chad David Mediate, D.P.T.
• Michelle Lynn Medicke, DPT
• Medihelp24
• Aysell Medina
• Janice Medina, CNS
• Gregory Daniel Medley, PHARM. D.
• Katherine Medley
• Karesa L Meek, PSY.D.

• Attendant Care Provider in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.