Ma Lucia Canada Medina, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K0930 Issued in TX

Practice address

5945 Saratoga Blvd
Suite C
Corpus Christi, TX 78414-4225

Phone

(361) 853-3222

Fax

(361) 980-3619

NPI assigned

Aug 21, 2005

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

Other identifiers 1

Other names 1

• Dr. Ma Lucia Canada Medina Other name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13003/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abc Pediatrics, P.a.

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1710034962

  Pediatrics, TX

  Medicare reassignment NPD
• Children'S Physician Services of South Texas

  • Plastic Surgery Physician
  • Corpus Christi, TX
  • NPI 1568658227

  TX

  Medicare reassignment
• Abc Pediatrics, P.a.

  • Pediatrics Physician
  • Corpus Christi, TX
  • NPI 1952523342

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1124582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1124010582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6070",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666070",
            "telephone_number": "361-853-3222",
            "fax_number": "361-561-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 SARATOGA BLVD",
            "address_2": "SUITE C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144225",
            "telephone_number": "361-853-3222",
            "fax_number": "361-980-3619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 S Alameda St # 303",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784111721",
            "country_code": "US",
            "telephone_number": "361-853-3222",
            "fax_number": "361-853-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MA LUCIA",
        "middle_name": "CANADA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-21",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K0930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110645202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA LUCIA",
            "last_name": "CANADA MEDINA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Medical Specialist Group PA
• Medilink Healthcare Soutions, LLC
• Roselinda Medina-Cortez, ROT
• Ana Alicia Medina, PHARM.D
• Frank Medina, LMT
• Zulema Medina
• Medivan EMS
• Medivita Health
• Samantha Jean Medley, FNP
• Medlines D.M.E

• All providers in Corpus Christi, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.