Active NPI
Bianca Ynez Mina
- Day Training/Habilitation Specialist
- Stockton, CA
National Provider Identifier
1114515327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 445 N San Joaquin St
Stockton, CA 95202-2026 - Phone
- (209) 444-8910
- Fax
- (209) 444-8905
- NPI assigned
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
445 N San Joaquin St
Stockton, CA 95202-2026
Mailing address
445 N San Joaquin St
Stockton, CA 95202-2026
Phone (209) 444-8910
Other practice location 1
1803 W March Ln Ste C
Stockton, CA 95207-6414
Phone (209) 636-5353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1114515327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 N SAN JOAQUIN ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022026",
"telephone_number": "209-444-8910",
"fax_number": "209-444-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 N SAN JOAQUIN ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022026",
"telephone_number": "209-444-8910",
"fax_number": "209-444-8905"
}
],
"practiceLocations": [
{
"address_1": "1803 W March Ln Ste C",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952076414",
"country_code": "US",
"telephone_number": "209-636-5353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINA",
"first_name": "BIANCA",
"middle_name": "YNEZ",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.