Myra Alexandra Medina, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

151073 Issued in CA

Practice address

18221 E 17TH St
Santa Ana, CA 92705-2676

Phone

(714) 730-0930

NPI assigned

Apr 10, 2025

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1104611128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18221 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052676",
            "telephone_number": "717-730-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18221 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052676",
            "telephone_number": "714-730-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MYRA",
        "middle_name": "ALEXANDRA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Diane Medina
• Linda Medina
• Linda Ruby Medina, PA-C
• Manuel Medina III, PAC
• Margarita Rosario Medina
• Priscilla Medina, PTA
• Roger Medina
• Shawn Michael Medina
• Medisupplies, Inc.
• Medix Healthcare Solutions, LLC

• Marriage & Family Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.